Jeremy Robert Smith, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN13013 Issued in GA

Practice address

5400 Lawrenceville Hwy NW Ste D
Lilburn, GA 30047-5956

Phone

(770) 921-6606

NPI assigned

Oct 4, 2006

Last updated

Oct 31, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Dec 1, 2014 through Dec 1, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Jeremy R Smith DMD and Associates LLC

  dba Lacour Family Dentistry

  • Dental Clinic/Center
  • Lilburn, GA
  • NPI 1417661554
  NPD Authorized official
• Kevin M. Lacour, DDS, PC

  dba Lacour Family Dentistry

  • Dentist
  • Lilburn, GA
  • NPI 1568013555
  NPD
• Georgia Dental Professionals, PC

  dba Suwanee Dental Care

  • General Practice Dentistry
  • Suwanee, GA
  • NPI 1083978555
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1033204821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 S ABBEYWOOD PL",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300753279",
            "telephone_number": "770-362-4102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 LAWRENCEVILLE HWY NW STE D",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300475956",
            "telephone_number": "770-921-6606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JEREMY",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN13013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Telron Smiley
• Smith Dental Care of Lilburn, Inc.
• Gregory Scott Smith, MD
• Heather Hastings Smith
• Jeffrey Stephen Smith, D.D.S.
• Melissa A Smith, PHARMD
• Rebekah Smith, LCSW
• Saabira Smith
• William W. Smith, PHARM.D.
• Wynton Smith

• General Practice Dentistry in Lilburn, GA
• Providers in Lilburn, 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 Oct 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.