Smullin, Steven Edward
Smullin, Steven Edward is an sole proprietor health care provider with primary practice located at 10 South St Ste 202 , Ridgefield CT 06877-4125. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Smullin, Steven Edward can be contacted via phone (203) 403-3686.Contact Information
Primary practice address
10 South St Ste 202
Ridgefield CT 06877-4125
Phone: (203) 403-3686
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 10246 | Connecticut |
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | 231511 | Massachusetts |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 20571 | Massachusetts |
Profile Details
| NPI number | 1679554513 |
|---|---|
| LBN Legal business name | Smullin, Steven Edward |
| Credentials | DMD, MD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 8th, 2005 |
| Last updated | Mar 14th, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679554513 | NPPES |
| Massachusetts | MEDICAID | 110076671A |
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