Brian K. Smith, D.D.S., M.D., Inc.
Organization Active NPI Oral and Maxillofacial Surgery (Dentist) · Lakewood, OH
NPI 1144561002 · NPPES record last updated Mar 1, 2013
Key facts
- NPI
- 1144561002
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist) 1223S0112X
- License
- 3018374 (OH)
- Legal business name
- BRIAN K. SMITH, D.D.S., M.D., INC.
- Practice address
- 14701 Detroit Ave
Suite 333
Lakewood, OH 44107-4109 - Phone
- (216) 228-4232
- Fax
- (216) 228-9136
- NPI assigned
- Mar 1, 2013
- Organization subpart
- No
Authorized official
- Name
- Dr. Brian K Smith, D,D,S., M.D.
- Title
- Owner
- Phone
- (216) 228-4232
Practitioners 1
-
Brian Keith Smith, DDS MD
National Provider Directory
Locations
14701 Detroit Ave
Ste 333
Lakewood, OH 44107
Phone (216) 228-4232
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) |
1223S0112X | 3018374 | OH | Yes |
Addresses
Primary practice location
14701 Detroit Ave
Suite 333
Lakewood, OH 44107-4109
Mailing address
14701 Detroit Ave
Suite 333
Lakewood, OH 44107-4109
Phone (216) 228-4232
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2127513 | Medicaid | OH |
Other providers in Lakewood, OH
- Margaret Bour
- Janice Elaine Bowman
- Megan Brady
- Elaine Marie Breiner
- Olivia Brewer
- Bridget McMurray, OD LLC
- Emily Brodke
- Charles Bromfield
- Lexi Brown
- Margaret Webber Brown
All providers in Lakewood, OH · Oral and Maxillofacial Surgery (Dentist) in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 1, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.