MEDICARE: DR. STEVEN LOUIS KALT D.D.S.

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	1223G0001X	General Practice Dentistry	039652	NY

General Provider Information

NPI Number	:	1154319986
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN LOUIS KALT D.D.S.

Provider Business Mailing Address
First Line	:	400 S OYSTER BAY RD
Second Line	:	SUITE 105
City	:	HICKSVILLE
State	:	NY
Zip	:	11801-3500
Country	:	US
Telephone Number	:	516-931-7722
Fax Number	:	516-931-2382

Provider Business Practice Location Address
First Line	:	400 S OYSTER BAY RD
Second Line	:	SUITE 105
City	:	HICKSVILLE
State	:	NY
Zip	:	11801-3500
Country	:	US
Telephone Number	:	516-931-7722
Fax Number	:	516-931-2382

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

Provider Enumeration Date	:	10/06/2005
Last Update Date	:	12/31/2014

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