DR. STEVEN EDWARD SMULLIN DMD MD NPI 1679554513

NPI Information

DR. Steven Edward Smullin, DMD, MD is an oral and maxillofacial surgery dentist in Ridgefield, CT. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Steven Edward Smullin, DMD, MD NPI is 1679554513. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

10 SOUTH ST STE 202
RIDGEFIELD, CT
ZIP 06877-125
Phone: (203) 403-3686

The NPI 1679554513 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 11/8/2005 and was last updated on 3/14/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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