Clayton Thomas Smith, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN29331 Issued in FL

Practice address

10427 Ulmerton Rd Ste B3
Largo, FL 33771-3530

Phone

(727) 535-9993

NPI assigned

Jul 8, 2024

Sex

Male

Sole proprietor

No

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

Networks

• Freedom Health HMO Network

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.

• Coast Florida P.a.

  • Dentist
  • Largo, FL
  • NPI 1508432923
  NPD
• Coast Florida P.a.

  • Dentist
  • Tampa, FL
  • NPI 1730287673
  NPD (past)

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

{
    "created_epoch": "1720396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1114763166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14442 OAKGLEN DR",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337745028",
            "telephone_number": "615-604-2621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10427 ULMERTON RD STE B3",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337713530",
            "telephone_number": "727-535-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CLAYTON",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-08",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN29331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arianna Emily Smith
• Bennett Walker Smith Jr., MD
• Catherine Smith, NP-C
• Charles V Smith, LMHC, LMFT, CAP, NCC
• Clara Ellen Smith, LCSW
• Eric S Smith, P.A.
• Jayla Smith, FNP-C
• Jeremy Allen Smith, PT
• Kathryn Evans Smith, C.R.N.A.
• Mary Lou Smith, OD

• General Practice Dentistry in Largo, FL
• Providers in Largo, FL by specialty
• General Practice Dentistry in Florida

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