- Practice location
- 5C Medical Park Drive, Pomona, NY 10970
- Phone
- 845-364-9400
- Fax
- —
- Last updated
- May 12, 2015
Marita Smith is a Dentist, Pediatric Dentistry based in Pomona, NY. Marita Smith practices in Pomona, NY and has the professional credentials of DDS. The NPI Number for Marita Smith is 1659630663 and holds a License No. 056224 (NY). The current practice location address for Marita Smith is 5C Medical Park Drive, Pomona, NY 10970 and can be reached out via phone at 845-364-9400.
Provider Profile Details
- NPI Number
- 1659630663
- Provider Name
- Marita Smith
- Credential
- DDS
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 5C Medical Park Drive, Pomona, NY 10970
- Phone Number
- 845-364-9400
- Primary Taxonomy
- Dentist, Pediatric Dentistry · 1223P0221X
- Sole Proprietor
- Yes
- Other Names
- Marita Izmailova, DDS (Former Name)
- Provider Enumeration Date
- May 10, 2012
- Last Update Date
- May 12, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 5C Medical Park Drive
Pomona, NY 10970 - City
- Pomona
- State
- New York
- Zip
- 10970
- Phone Number
- 845-364-9400
Provider Business Mailing Address Details
- Address
- 5C Medical Park Drive
Pomona, NY 10970 - City
- Pomona
- State
- NY
- Zip
- 10970
- Phone Number
- 845-364-9400
- Fax Number
- 845-364-0284
License Information
- License Number (1)
- 056224
- License State (1)
- NY
- Taxonomy (1)
- Dentist, Pediatric Dentistry · 1223P0221X · Primary
- License Number (2)
- 22DI02486600
- License State (2)
- NJ
- Taxonomy (2)
- Dentist, Pediatric Dentistry · 1223P0221X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, Pediatric Dentistry providers near Pomona, NY
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Frequently Asked Questions
What is the NPI number of Dr. Marita Smith, DDS?
The NPI number of Dr. Marita Smith, DDS is 1659630663. It was assigned on May 10, 2012 and is currently active in the NPPES registry.
What is the specialty of Dr. Marita Smith, DDS?
Dr. Marita Smith, DDS is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X), licensed in NY under license number 056224.
Where does Dr. Marita Smith, DDS practice?
The practice location is 5C Medical Park Drive, Pomona, NY 10970. The office can be reached at 845-364-9400 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1659630663 directly on the NPPES registry website.