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
Phone: (845) 938-6475
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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 9 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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