Provider Demographics
NPI:1881707677
Name:SMOLER, EUGENE EDWARD (DDS)
Entity type:Individual
Prefix:DR
First Name:EUGENE
Middle Name:EDWARD
Last Name:SMOLER
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 1:30365 WINDINGBROOK LN
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-1138
Mailing Address - Country:US
Mailing Address - Phone:248-626-2383
Mailing Address - Fax:
Practice Address - Street 1:820 N WAYNE RD
Practice Address - Street 2:
Practice Address - City:WESTLAND
Practice Address - State:MI
Practice Address - Zip Code:48185-3632
Practice Address - Country:US
Practice Address - Phone:734-728-5600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010081381223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice