Daniel David Smith, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DS0000008743 Issued in TN

Practice address

102 Bennett Rd
Oliver Springs, TN 37840-5005

Phone

(865) 435-4100

NPI assigned

Oct 3, 2007

Last updated

Jun 16, 2011By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tennessee Dental Professionals, PC

  dba Dental Arts of Oliver Springs

  • General Practice Dentistry
  • Oliver Springs, TN
  • NPI 1023504701
  NPD (past)

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308182400000",
    "number": "1114114113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 620",
            "address_2": "102 BENNETT ROAD",
            "city": "OLIVER SPRINGS",
            "state": "TN",
            "postal_code": "378400620",
            "telephone_number": "865-435-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 BENNETT RD",
            "city": "OLIVER SPRINGS",
            "state": "TN",
            "postal_code": "378405005",
            "telephone_number": "865-435-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DANIEL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-03",
        "last_updated": "2011-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "DS0000008743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Recovery House of East Tennessee
• Jason Benjamin Robinson
• Haley Ann Russell, HOME HEALTH AIDE
• Toby H Russell, D.C
• Lindsay Rebecca Shackelford, LPN
• David P. Smith, D.D.S.
• Stephen Nevin Smith, DDS
• Charles Loyd Stallings, LADACII, SAP
• Donna Stanton
• Steven Teague

• Dentist in Oliver Springs, TN
• Providers in Oliver Springs, TN by specialty
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2011; 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.