| NPI | 1053587089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN E SMITH Owner 212-799-1441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NY 0535851) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: NY 049387) |
| 1223E0200X Dentist, Endodontics (Licence: NY 047983) | |
| 1223G0001X Dentist, General Practice (Licence: NY 040872) | |
| 1223P0300X Dentist, Periodontics (Licence: NY 047045) | |
| 1223P0300X Dentist, Periodontics (Licence: NY 0536361) | |
| 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: NY 054277) | |
| 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: NY 051829-1) | |
| 122300000X Dentist (Licence: NY 055069) | |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2016-06-20 |