Individual
DR. KEVIN DOUGLAS SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
900 WASHINGTON RD, WEST POINT, NY 10996-1109
(845) 938-6475
Mailing address
155B GARDNER LOOP # B, WEST POINT, NY 10996-1114
(253) 576-2478
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
22DIO2504600
NJ
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
059103-1
NY
Other
Enumeration date
07/26/2012
Last updated
12/13/2017
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