Provider Demographics
NPI:1457471435
Name:SMIT, ERIKA JAYE (DDS)
Entity Type:Individual
Prefix:DR
First Name:ERIKA
Middle Name:JAYE
Last Name:SMIT
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1138 WILLIAM FLOYD PKWY
Mailing Address - Street 2:SUITE A
Mailing Address - City:SHIRLEY
Mailing Address - State:NY
Mailing Address - Zip Code:11967-1807
Mailing Address - Country:US
Mailing Address - Phone:631-399-9292
Mailing Address - Fax:
Practice Address - Street 1:1138 WILLIAM FLOYD PKWY
Practice Address - Street 2:SUITE A
Practice Address - City:SHIRLEY
Practice Address - State:NY
Practice Address - Zip Code:11967-1807
Practice Address - Country:US
Practice Address - Phone:631-399-9292
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY046378122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist