Charlotte Anne Smith, DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

4467 Issued in AL

Practice address

28119 N Main St
Ste a
Daphne, AL 36526-7037

Phone

(257) 626-2728

Fax

(257) 626-2877

NPI assigned

Oct 19, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104908227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28119 N MAIN ST",
            "address_2": "STE A",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365267037",
            "telephone_number": "257-626-2728",
            "fax_number": "257-626-2877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28119 N MAIN ST",
            "address_2": "STE A",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365267037",
            "telephone_number": "257-626-2728",
            "fax_number": "257-626-2877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHARLOTTE",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "AL",
            "license": "4467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "96999",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Martha Campbell Skinner, LCSW
• Maycie Sloan, LICSW
• Melissa Agerton Smilie, LPC
• Andrew Augustus Smith, MD
• Ashton Briana Smith
• Grant Kendall Smith, D.C.
• Kathryn Hope Smith, MS, OTR/L
• Kelsey Smith
• Najahh Lavon Smith, REGISTERED NURSE
• Nicholas Keaton Smith, PT, DPT

• Periodontics in Daphne, AL
• Providers in Daphne, AL by specialty
• Periodontics in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.