Steven Edward Smullin in Stamford - Oral And Maxillofacial Surgery
Steven Edward Smullin - NPI 1679554513
Steven Edward Smullin is a Oral And Maxillofacial Surgery in Stamford, Connecticut. Steven Edward Smullin practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Steven Edward Smullin is 1679554513. The last update date is 2019-03-14.
Steven Edward Smullin's current location address is 87 Brookhollow Ln, Stamford, Connecticut. You can contact this provider via phone number 6172301152. The mailing address for Steven Edward Smullin is 87 Brookhollow Ln, Stamford, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Steven Edward Smullin |
|---|---|
| Address | 87 Brookhollow Ln, Stamford, Connecticut |
| Phone Number | 6172301152 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DMD, MD |
NPI Number Detail
| NPI Number | 1679554513 |
|---|---|
| Provider Enumeration Date | 2005-11-08 |
| Last Updated Date | 2019-03-14 |
Provider Mailing Address Detail
| Address | 87 Brookhollow Ln |
|---|---|
| City | Stamford |
| State | Connecticut (CT) |
| Post Code | 69021014 |
| Phone Number | 6172301152 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 10246 |
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Definition: 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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 110076671A | MA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Steven Edward Smullin by the Centers for Medicare & Medicaid Services (CMS)?
The Steven Edward Smullin has been assigned the NPI (National Provider Identifier) 1679554513. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Steven Edward Smullin's physical address?
The Steven Edward Smullin is physically located at 87 Brookhollow Ln, in the city of Stamford, CT, with the postal code 69021014.
What is Steven Edward Smullin's area of expertise and its corresponding taxonomy classification?
The Steven Edward Smullin's field of specialization is Oral And Maxillofacial Surgery, and it falls under the taxonomy code 1223S0112X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1679554513 to Steven Edward Smullin?
The Steven Edward Smullin received its 1679554513 assignment from the Centers for Medicare & Medicaid Services on 2005-11-08.
As of what date were the details pertaining to Steven Edward Smullin last refreshed?
The information related to the Steven Edward Smullin, including its address, specialty, and other relevant details, was last updated on 2019-03-14.