Thomas Glen Smith II, D.M.D

Primary specialty

DentistTaxonomy code 122300000X

License

3974 Issued in AL

Practice address

2349 Danville Rd SW
Suite 130
Decatur, AL 35603-4284

Phone

(256) 355-2561

NPI assigned

Apr 3, 2007

Last updated

Jul 8, 2007By 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

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144341256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2349 DANVILLE RD SW",
            "address_2": "SUITE 130",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356034284",
            "telephone_number": "256-355-2561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2349 DANVILLE RD SW",
            "address_2": "SUITE 130",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356034284",
            "telephone_number": "256-355-2561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "THOMAS",
        "middle_name": "GLEN",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "3974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Greer Smith, PHARMD
• Kristen Smith
• Lanessa Lashea Smith, RBT
• Lisa G Smith, RPT
• Michelle Leanne Smith, RN
• Smitmar Health Entities (Kidz Planet Urgent Care)
• Lesley W. Smothers, PT
• David L. Smull, DO
• SNH SE Tenant TRS, Inc (The Terrace at Priceville)
• Lucas Charles Snodgrass

• Dentist in Decatur, AL
• Providers in Decatur, AL by specialty
• Dentist 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.