Provider Demographics
NPI:1588456966
Name:SMITH, STEVIE LEE (RDHAP, MPH)
Entity type:Individual
Prefix:MS
First Name:STEVIE
Middle Name:LEE
Last Name:SMITH
Suffix:
Gender:F
Credentials:RDHAP, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1252 W NEWGROVE ST
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93534-2938
Mailing Address - Country:US
Mailing Address - Phone:661-675-6863
Mailing Address - Fax:
Practice Address - Street 1:1252 W NEWGROVE ST
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-2938
Practice Address - Country:US
Practice Address - Phone:661-675-6863
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-20
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist