Provider Demographics
NPI:1386837466
Name:MESSING SMITKIN, ALLISON LEIGH (DMD)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:LEIGH
Last Name:MESSING SMITKIN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:453 DIXON RD
Mailing Address - Street 2:
Mailing Address - City:QUEENSBURY
Mailing Address - State:NY
Mailing Address - Zip Code:12804-1964
Mailing Address - Country:US
Mailing Address - Phone:518-792-1108
Mailing Address - Fax:518-798-4670
Practice Address - Street 1:63 HUDSON ST
Practice Address - Street 2:
Practice Address - City:SOUTH GLENS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12803-4945
Practice Address - Country:US
Practice Address - Phone:518-793-2187
Practice Address - Fax:518-792-2188
Is Sole Proprietor?:No
Enumeration Date:2007-08-22
Last Update Date:2020-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0529041223G0001X
NY052904-31223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice