Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. STEVEN EDWARD SMULLIN, DMD, MD
Active Sole ProprietorDR. STEVEN EDWARD SMULLIN, DMD, MD is a Oral & Maxillofacial Surgery healthcare provider located in RIDGEFIELD, Connecticut. NPI 1679554513 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · RIDGEFIELD, CT
Registration Details
- NPI Number
- 1679554513
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 8, 2005 (20.724783637295 yrs)
- Last Updated
- Mar 14, 2019
- Licenses
-
10246 (CT)231511 (MA)20571 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10 SOUTH ST STE 202RIDGEFIELD, CT, 068774125Browse CT providers · Browse ZIP 06877
- Phone
- 2034033686
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
- Additional Specialty
- Oral & Maxillofacial Surgery (Physician)
- Additional Specialty
- Oral & Maxillofacial Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.