DR. KEVIN DOUGLAS SMITH (NPI# 1588910657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588910657 |
| Entity Type | Individual |
| Full Name | DR. KEVIN DOUGLAS SMITH |
| Credential | D.M.D. |
| Practice Address |
900 Washington Rd West Point NY 10996-1109 |
| Mailing Address |
155b Gardner Loop # B West Point NY 10996-1114 |
| Practice Telephone | 8459386475 |
| Mailing Telephone | 2535762478 |
| Enumeration Date | 2012-07-26 |
| Last Update Date | 2017-12-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 22DIO2504600 | NJ | Dental Providers |
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
059103-1 | NY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790394310 | Kevin Lee Smith | Technician | 97 Culp Dr, Ridgeley, WV 26753-7407 | 2020-07-29 |
| 1295397495 | Kevin James Smith | Social Worker | 1076 E Rubicon Dr, Boise, ID 83716-5279 | 2019-07-08 |
| 1649831546 | Kevin Smith | Dentist | 5657 S Himalaya St Ste 270, Aurora, CO 80015-5310 | 2019-06-22 |
| 1992362875 | Kevin Gene Smith | Social Worker | 1293 Page Rd, Raleigh, NC 27603-7334 | 2019-05-25 |
| 1700314952 | Kevin Matthew Smith | Pediatrics | 715 Camino Catalina, Solana Beach, CA 92075-1631 | 2017-06-01 |
| 1124565759 | Kevin Smith | Driver | 530 Yates Ave, Calumet City, IL 60409-3119 | 2017-01-20 |
| 1487005047 | Kevin Smith | Massage Therapist | 19615 Se 342nd St, Auburn, WA 98092-1500 | 2016-06-24 |
| 1679929806 | Kevin Smith | Durable Medical Equipment & Medical Supplies | 76 Birchmount Cir, West Henrietta, NY 14586-9452 | 2016-05-06 |
| 1871998716 | Kevin Michael Smith | Physical Therapist | 15 Corporate Plaza Dr Ste 130, Newport Beach, CA 92660-7940 | 2014-11-04 |
| 1144646993 | Kevin Smith | Occupational Therapist | 322 Pillings Pond Rd, Lynnfield, MA 01940-1345 | 2014-03-17 |
| Street Address |
900 WASHINGTON RD |
| City | WEST POINT |
| State | NY |
| Zip Code | 10996-1109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174525695 | Don B Blakeslee | Otolaryngology | 900 Washington Rd, West Point, NY 10996-1109 | 2005-08-15 |
| 1164069191 | Jessica Lynn Guglielmo | Registered Nurse | 900 Washington Rd, West Point, NY 10996-1109 | 2019-12-10 |
| 1104463090 | Patricia Ruth Gwynn | Registered Nurse | 900 Washington Rd, West Point, NY 10996-1109 | 2019-12-10 |
| 1265079594 | Mariefel Casino Paqueo | Registered Nurse | 900 Washington Rd, West Point, NY 10996-1109 | 2019-12-05 |
| 1467003061 | Kristen Midori Omi | Optometrist | 900 Washington Rd, West Point, NY 10996-1109 | 2019-09-25 |
| 1356992390 | Ava Hwa Lan | Pharmacist | 900 Washington Rd, West Point, NY 10996-1109 | 2019-09-20 |
| 1356901474 | Tyler Amores | Physician Assistant | 900 Washington Rd, West Point, NY 10996-1109 | 2019-06-20 |
| 1306321575 | Courtney Millen | Dietitian, Registered | 900 Washington Rd, West Point, NY 10996-1109 | 2018-10-03 |
| 1063912475 | Katherine Lynn Lukianoff | Nurse Practitioner | 900 Washington Rd, West Point, NY 10996-1109 | 2018-02-13 |
| 1710401054 | Adam Michael Barga | Physical Therapist | 900 Washington Rd, West Point, NY 10996-1109 | 2017-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558838821 | Alexander Clifford Lane | Specialist/Technologist | 700 Mills Road, West Point, NY 10996 | 2018-10-25 |
| 1912182080 | Linda A Terribile | Licensed Practical Nurse | 900 Washington Road, Keller Army Community Hospital, West Point, NY 10996 | 2008-01-08 |
| 1235334392 | Keller Army Community Hospital | Clinic/Center | 606 Cullum Road, Building 606, West Point, NY 10996 | 2007-06-19 |
| 1639244718 | Edward Michael Falta | Surgery | Building 900, Washington Road, West Point, NY 10996 | 2006-11-22 |
| 1902989452 | Donna Wiener-levy | Psychologist | Us Military Academy, Scott Barracks, Building 735, 51st Division, West Point, NY 10996 | 2006-10-20 |
| 1174622542 | Keller Army Community Hospital | Pharmacy | Bldg 606, West Point, NY 10996 | 2006-09-22 |
| 1427157882 | Keller Army Community Hospital | Pharmacy | Bldg 900, West Point, NY 10996 | 2006-09-22 |
| 1932151024 | Lucille Catherine Larney | Psychologist | Kach Behavioral Health Clinic, Bldg 606-3m, West Point, NY 10996 | 2006-05-17 |
| 1669423315 | Thorpe Clarke Whitehead | Dentist | Saunders Dental Clinic, 646 Swift Creek Road, West Point, NY 10996 | 2006-05-15 |
| 1205891876 | Nancy G Brown | Physical Therapist | Washington Rd, Keller Army Community Hospital, West Point, NY 10996 | 2006-04-18 |
| Find all providers in zip 10996 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053921643 | Upper West Side Oral & Maxillofacial Surgery | Dentist | 140 W 69th St Ph 1g, New York, NY 10023-5173 | 2020-08-07 |
| 1467092965 | Nyc Implant and Oral Surgery PC | Dentist | 30 E 60th St Ste 907, New York, NY 10022-1058 | 2020-01-13 |
| 1235777566 | Asnis Dental Pllc | Dentist | 800 Woodbury Rd Ste C, Woodbury, NY 11797-2503 | 2019-12-17 |
| 1700420429 | Chavkin Oral and Maxillofacial Surgery LLC | Dentist | 414 Jericho Tpke Ste 2, New Hyde Park, NY 11040-4510 | 2019-11-06 |
| 1730737545 | Southwoods Boulevard Dental, P.C. | Dentist | 7 Southwoods Blvd Ste 1, Albany, NY 12211-2526 | 2019-08-27 |
| 1750947792 | Eduard Munarov Dds PC | Dentist | 449 N State Rd Ste 102, Briarcliff Manor, NY 10510-1478 | 2019-05-15 |
| 1598227530 | Asnis Dental Pllc | Dentist | 250 Patchogue Yaphank Rd Ste 10, East Patchogue, NY 11772-4862 | 2019-04-01 |
| 1720545387 | Asnis Dental, Pllc | Dentist | 260 Middle Country Rd Ste 12, Selden, NY 11784-2570 | 2019-03-01 |
| 1205344819 | Ray Cheng Dds | Dentist | 217 Park Row Ste 4b, New York, NY 10038-1101 | 2018-01-17 |
| 1871006064 | Ny Oral and Maxillofacial Surgeon, PC | Dentist | 2844 Ocean Pkwy Ste B2, Brooklyn, NY 11235-7904 | 2017-11-09 |
| Find all providers with the same taxonomy | ||||
| City | WEST POINT |
| Zip Code | 10996 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.