MEDICARE: DR. STEVAN A SMITH DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	035026	NY

General Provider Information

NPI Number	:	1073641742
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVAN A SMITH DMD

Provider Business Mailing Address
First Line	:	340 MADISON AVENUE
Second Line	:	SUITE 4C
City	:	NEW YORK
State	:	NY
Zip	:	10173
Country	:	US
Telephone Number	:	212-878-1300
Fax Number	:	212-687-0776

Provider Business Practice Location Address
First Line	:	340 MADISON AVENUE
Second Line	:	SUITE 4C
City	:	NEW YORK
State	:	NY
Zip	:	10173
Country	:	US
Telephone Number	:	212-878-1300
Fax Number	:	212-687-0776

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/02/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1649221268 — GRAND CENTRAL OPTICAL CO INC
Practice Location Address:

340 MADISON AVE
NEW YORK, NY
10173-0002

Practice Phone: 212-599-1220
Practice Fax: 646-666-5710

1790860229 — DR. DAVID JOSEPH KURTZ DDS
Practice Location Address:

340 MADISON AVE , SUITE 4C
NEW YORK, NY
10173

Practice Phone: 646-216-8188
Practice Fax:

1467665075 — DR. LINDA M SARETT DDS
Practice Location Address:

342 MADISON AVE , 4C
NEW YORK, NY
10173-0002

Practice Phone: 212-687-1983
Practice Fax: 212-687-0776

1942410204 — DR. PHUONG D. DOAN D.D.S.
Practice Location Address:

340 MADISON AVENUE, SUITE 4C
NEW YORK, NY
10173-1909

Practice Phone: 917-805-3628
Practice Fax:

1497164735 — DR. JOSHUA RUBIN
Practice Location Address:

340 MADISON AVE , SUITE 4C
NEW YORK, NY
10173-0002

Practice Phone: 212-687-2877
Practice Fax: 212-687-0776

1194125039 — DR. MATTHEW C. HAUSSERMAN DMD
Practice Location Address:

340 MADISON AVE RM 4C
NEW YORK, NY
10173-1909

Practice Phone: 917-217-3179
Practice Fax:

Directions to “ DR. STEVAN A SMITH DMD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.