Smith Dentistry PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SMITH DENTISTRY PLLC

Practice address

962 Old M 66 NW
Kalkaska, MI 49646-8643

Phone

(231) 258-9061

NPI assigned

Apr 22, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Grant J Smith, DDSNPI 1285367003

Title

President/Owner

Phone

(231) 631-3175

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Grant Smith, DDS

  • General Practice Dentistry
  • Kalkaska, MI
  • NPI 1285367003

  General Practice

  NPD Authorized official

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

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713744000000",
    "number": "1043065030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "962 OLD M 66 NW",
            "city": "KALKASKA",
            "state": "MI",
            "postal_code": "496468643",
            "telephone_number": "231-258-9061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "962 OLD M 66 NW",
            "city": "KALKASKA",
            "state": "MI",
            "postal_code": "496468643",
            "telephone_number": "231-258-9061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-22",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "GRANT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "231-631-3175",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mandy Annoca Sharpe
• Craig Sheerin, PA-C
• Shopko Stores Operating Co LLC
• Jacqueline Shumaker, RN, BSN, MPH
• Clayton G Skrzypczak, O.D.
• Grant Smith, DDS
• Perry Scott Smith, D.C.
• Ashley Lynn Snyder, RD
• Dan F. Soenen, D.D.S.,P.C.
• Jacob Soenen

• All providers in Kalkaska, MI
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; 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.