Sylvester Own Smith III, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

3607 Issued in NC

Practice address

1417 Fort Bragg Road
Fayetteville, NC 28305-4707

Phone

(910) 323-1410

NPI assigned

Apr 4, 2007

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

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.

• Fayetteville Sleep Appliances LLC

  • General Practice Dentistry
  • Fayetteville, NC
  • NPI 1487462602
  NPD (past)
• Stephanie Means Price DDS PA

  • General Practice Dentistry
  • Fayetteville, NC
  • NPI 1619795739
  NPD (past)

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144342007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 FORT BRAGG ROAD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283054707",
            "telephone_number": "910-323-1410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 FORT BRAGG ROAD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283054707",
            "telephone_number": "910-323-1410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SYLVESTER",
        "middle_name": "OWN",
        "name_suffix": "III",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NC",
            "license": "3607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawn Lynese Smith, RN,WHNP-BC
• Sherry A. Smith, MSW, LCSW, LCASA
• Sherry Hoang Smith, PH.D.
• Shonda Renee Smith
• Stefanie Smith, LCMHCA
• Tamara Smith, MSW, LCSW-A
• Tany'Sha Smith
• Terrance Lee Smith, DDS
• Thurlene T Smith
• Tonya L Smith

• Oral and Maxillofacial Surgery (Dentist) in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Oral and Maxillofacial Surgery (Dentist) in North Carolina

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.