Jenae Smith, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN122796 Issued in GA

Practice address

3069 Clifton Springs Rd
Decatur, GA 30034-3822

Phone

(770) 593-3426

NPI assigned

Jul 15, 2022

Sex

Female

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

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 and National Provider Directory roles.

• New Smiles of Decatur

  • General Practice Dentistry
  • Decatur, GA
  • NPI 1588426985
  NPD
• Centre of Panola Cosmetic & Family Dentistry P.C.

  • General Practice Dentistry
  • Lithonia, GA
  • NPI 1942021555
  NPD (past)

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

{
    "created_epoch": "1657843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657843200000",
    "number": "1093449910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "498 TRINITY TRL",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302944521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3069 CLIFTON SPRINGS RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300343822",
            "telephone_number": "770-593-3426"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3035 Panola Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Stonecrest",
            "state": "GA",
            "postal_code": "300382494",
            "country_code": "US",
            "telephone_number": "770-498-3744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JENAE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-15",
        "last_updated": "2022-07-15",
        "certification_date": "2022-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN122796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Smith
• Jasmine A Smith, MA CCC-SLP
• Jayne E Smith, LPC
• Jeanette Arp Smith, RN
• Jeffrey Grant Smith, DC
• Jennifer Smith
• Joseph Lemonte Smith Jr., LCSW
• Joyce Smith, RN
• Katharine Smith
• Kathleen Jeanne Smith, MD

• General Practice Dentistry in Decatur, GA
• Providers in Decatur, 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 Jul 15, 2022; 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.