MEDICARE: MR. STEVEN DONE 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	1223E0200X	Endodontics	DN20422	FL

General Provider Information

NPI Number	:	1063858603
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. STEVEN DONE SMITH DMD

Provider Business Mailing Address
First Line	:	1360 BEDFORD DR
Second Line	:
City	:	MELBOURNE
State	:	FL
Zip	:	32940-1992
Country	:	US
Telephone Number	:	321-242-7550
Fax Number	:	321-242-7110

Provider Business Practice Location Address
First Line	:	1360 BEDFORD DR
Second Line	:
City	:	MELBOURNE
State	:	FL
Zip	:	32940-1992
Country	:	US
Telephone Number	:	321-242-7550
Fax Number	:	321-242-7110

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

Provider Enumeration Date	:	05/21/2013
Last Update Date	:	04/09/2020

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