Doctor Name: | DR. HERBERT S. SMITH |
NPI Number: | 1205178779 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.M.D. |
License Number: | 034491 |
Business Practice Address: | 2079 Boston Post Rd Larchmont, NY - 105383701 |
Business Phone Number: | 9148344150 |
Business Fax Number: | 9148341060 |
Mailing Address: | 2079 Boston Post Rd, LARCHMONT |
State: | NY |
Postal Code: | 105383701 |
Phone Number: | 9148344150 |
Fax Number: | 9148341060 |
NPI Enumeration Date: | 03/22/2013 |
NPI Last Update Date: | 03/22/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | 034491 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |