Stephen Nevin Smith, DDS
Individual provider Active NPI General Practice Dentistry · Oliver Springs, TN
NPI 1124088265 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1124088265
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DS3786 (TN)
- Practice address
- 102 Bennett Rd
Oliver Springs, TN 37840-5005 - Phone
- (865) 435-4100
- Fax
- (865) 435-1771
- NPI assigned
- Mar 24, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160617001466 | TN | Order and Referring Only - Other (Non-Physician) | 2668763848 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS3786 | TN | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tennessee Dental Professionals, PC | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS3786 | TN | Yes |
Addresses
Primary practice location
102 Bennett Rd
Oliver Springs, TN 37840-5005
Mailing address
102 Bennett Rd
Oliver Springs, TN 37840-5005
Phone (865) 435-4100
Other providers in Oliver Springs, TN
- Haley Ann Russell
- Toby H Russell
- Lindsay Rebecca Shackelford
- Daniel David Smith
- David P. Smith
- Charles Loyd Stallings
- Donna Stanton
- Steven Teague
- Tennessee Dental Professionals, PC
- Tammy June Thacker
All providers in Oliver Springs, TN · General Practice Dentistry in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.