Organization
KEVIN E. SMITH DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN E SMITH DDS (OWNER)
(212) 799-1441
Entity
Organization
Contact information
Practice address
228 W 71ST ST, NEW YORK, NY 10023-3730
(212) 799-1441
Mailing address
228 W 71ST ST, NEW YORK, NY 10023-3730
(212) 799-1441
(212) 579-9646
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
055069
NY
1223E0200X
Endodontics
047983
NY
1223E0200X
Endodontics
049387
NY
1223G0001X
General Practice Dentistry
040872
NY
1223P0106X
Oral and Maxillofacial Pathology Dentistry
051829-1
NY
1223P0106X
Oral and Maxillofacial Pathology Dentistry
054277
NY
1223P0300X
Periodontics
047045
NY
1223P0300X
Periodontics
0536361
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0535851
NY
Other
Enumeration date
04/30/2008
Last updated
06/20/2016
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