Provider Demographics
NPI:1063858603
Name:SMITH, STEVEN DONE (DMD)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:DONE
Last Name:SMITH
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1360 BEDFORD DR
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32940-1992
Mailing Address - Country:US
Mailing Address - Phone:321-242-7550
Mailing Address - Fax:321-242-7110
Practice Address - Street 1:1360 BEDFORD DR
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32940-1992
Practice Address - Country:US
Practice Address - Phone:321-242-7550
Practice Address - Fax:321-242-7110
Is Sole Proprietor?:No
Enumeration Date:2013-05-21
Last Update Date:2020-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN204221223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics