Individual provider Active NPI

Laura Marie Carn Smith, DMD

  • General Practice Dentistry
  • Fayetteville, GA
National Provider Identifier
1013000900
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11175 Issued in GA
Practice address
290 Highway 314
Suite a
Fayetteville, GA 30214-7813
Phone
(770) 460-6060
Fax
(770) 461-0541
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 11175 GA Primary

Addresses

Primary practice location

290 Highway 314
Suite a
Fayetteville, GA 30214-7813

Mailing address

290 Highway 314
Suite a
Fayetteville, GA 30214-7813
Phone (770) 460-6060

Other names 1

  • Laura Marie Carn Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Dental Care of Georgia General Practice PastSince Jul 24, 2022 Accepting new patients
Georgia Dental Professionals, PC General Practice Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1013000900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 HIGHWAY 314",
            "address_2": "SUITE A",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147813",
            "telephone_number": "770-460-6060",
            "fax_number": "770-461-0541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 HIGHWAY 314",
            "address_2": "SUITE A",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147813",
            "telephone_number": "770-460-6060",
            "fax_number": "770-461-0541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LAURA",
        "middle_name": "MARIE CARN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "11175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "CARN",
            "middle_name": "MARIE",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fayetteville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.