Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Roland Theodore Smith III, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1114629219

Dr. Roland Theodore Smith III, MD is a Student in an Organized Health Care Education/Training Program in Mineola, New York. Licensed in New York. Registered with an NPI since 2023.

Licensed in
NY
In the registry since
2023
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

222 Station Plz N
Mineola, NY 11501-3800
Phone: (516) 663-9484
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (NY)

Record details

NPI number1114629219
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 21, 2023
Last updated in NPPESJune 19, 2026
Certification dateJune 19, 2026

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