Smith, Kevin Douglas

Smith, Kevin Douglas is an sole proprietor health care provider with primary practice located at 900 Washington Rd , West Point NY 10996-1109. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Smith, Kevin Douglas can be contacted via phone (845) 938-6475.

Contact Information

Primary practice address
900 Washington Rd West Point NY 10996-1109
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 22DIO2504600 New Jersey
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 059103-1 New York

Profile Details

NPI number 1588910657
LBN Legal business name Smith, Kevin Douglas
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2012
Last updated Dec 13th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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