Barry Preston Smith, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN010518 Issued in GA

Practice address

709 Canton Rd NE
Suite 210
Marietta, GA 30060-8968

Phone

(770) 426-4188

Fax

(770) 421-8122

NPI assigned

Nov 7, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 1, 2015 through Oct 1, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Kennestone Dental Designs, LLC

  • General Practice Dentistry
  • Marietta, GA
  • NPI 1093019978
  NPD (past) Authorized official

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331769600000",
    "number": "1023187986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 CANTON RD NE",
            "address_2": "SUITE 210",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300608968",
            "telephone_number": "770-426-4188",
            "fax_number": "770-421-8122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 CANTON RD NE",
            "address_2": "SUITE 210",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300608968",
            "telephone_number": "770-426-4188",
            "fax_number": "770-421-8122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BARRY",
        "middle_name": "PRESTON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2012-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN010518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Christian Smith, DO
• Anna Ford Smith, LPC, ATR-BC
• Ashley Earldaniel Smith, DMD
• Ashley Renee Smith, AGACNP-BC, MSN, BA
• Barbara Dunn Smith, MD
• Blair Smith
• Bonnie Smith, P.T.
• Bonnie M Smith
• Brentley Smith, M.D.
• Brian Clark Smith, PT, DPT, NCS

• General Practice Dentistry in Marietta, GA
• Providers in Marietta, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.