Provider Demographics
NPI:1154319986
Name:KALT, STEVEN LOUIS (DDS)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:LOUIS
Last Name:KALT
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 S OYSTER BAY RD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:HICKSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11801-3500
Mailing Address - Country:US
Mailing Address - Phone:516-931-7722
Mailing Address - Fax:516-931-2382
Practice Address - Street 1:400 S OYSTER BAY RD
Practice Address - Street 2:SUITE 105
Practice Address - City:HICKSVILLE
Practice Address - State:NY
Practice Address - Zip Code:11801-3500
Practice Address - Country:US
Practice Address - Phone:516-931-7722
Practice Address - Fax:516-931-2382
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-06
Last Update Date:2014-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0396521223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice