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General NPI Number Information
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NPI Number | 1316086549
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Entity Type | Organization
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Legal Business Name | HERBERT S. SMITH, D.M.D., P.C.
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2079 BOSTON POST RD
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City | LARCHMONT
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State | NY
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Zip | 10538-3701
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Country | US
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Telephone | 914-834-4150
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Fax | 914-834-1060
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Provider Business Mailing Address
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Address Line | 2079 BOSTON POST RD
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City | LARCHMONT
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State | NY
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Zip | 10538-3701
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Country | US
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Telephone | 914-834-4150
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Fax | 914-834-1060
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Authorized Official
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Title or Position | PRESIDENT AND OWNER
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Name | DR. HERBERT S. SMITH
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Credential | D.M.D.
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Telephone | 914-834-4150
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 034491
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License Number State | NY
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