Jonathan Gregory Smith, DMD, MHS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

3534 Issued in SC

Practice address

601 E Georgia St
Woodruff, SC 29388-1953

Phone

(864) 476-8315

Fax

(864) 476-8290

NPI assigned

Jul 18, 2007

Last updated

May 26, 2009By 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)

Enrolled

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.

• Crowns Now Family Dentistry

  • General Practice Dentistry
  • Greenville, SC
  • NPI 1265640601
  NPD (past)
• Woodruff Family Dentistry

  • General Practice Dentistry
  • Woodruff, SC
  • NPI 1710069182
  NPD (past)

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243296000000",
    "number": "1114127172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E GEORGIA ST",
            "city": "WOODRUFF",
            "state": "SC",
            "postal_code": "293881953",
            "telephone_number": "864-476-8315",
            "fax_number": "864-476-8290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E GEORGIA ST",
            "city": "WOODRUFF",
            "state": "SC",
            "postal_code": "293881953",
            "telephone_number": "864-476-8315",
            "fax_number": "864-476-8290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JONATHAN",
        "middle_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "DMD, MHS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-18",
        "last_updated": "2009-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "SC",
            "license": "3534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gajanan Ramnath Shanbhag, MD
• Pramila Gajanan Shanbhag, MD
• Laura Shields
• Toshiva Deshane Shippy, FNP
• Lindsay Jeanne Small, MA, BCBA
• Kristina Smith, M.A., CCC-SLP
• Susan Lucille Smith, PT
• South Carolina CVS Pharmacy LLC (CVS Pharmacy # 02446)
• South Carolina Post Acute Medical Services 1 PC
• Spartanburg County School District Four

• Periodontics in Woodruff, SC
• Providers in Woodruff, SC by specialty
• Periodontics in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2009; 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.