Smith Endodontics

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DN13788 Issued in FL

Legal business name

SMITH ENDODONTICS

Practice address

1520 Business Center Dr
Suite 2
Orange Park, FL 32003-9011

Phone

(904) 637-0028

Fax

(904) 644-8230

NPI assigned

May 20, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Michael R. Smith, DMD

Title

Owner

Phone

(904) 637-0028

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1463702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463702400000",
    "number": "1164879052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 BUSINESS CENTER DR",
            "address_2": "SUITE 2",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320039011",
            "telephone_number": "904-637-0028",
            "fax_number": "904-644-8230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 BUSINESS CENTER DR",
            "address_2": "SUITE 2",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320039011",
            "telephone_number": "904-637-0028",
            "fax_number": "904-644-8230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH ENDODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-20",
        "last_updated": "2016-05-20",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-637-0028",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN13788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Sloan
• Hannah Sloniker
• Elizabeth Sluski, COTA/L
• Small Talk Inc
• Smart Moves Physiotherapy, LLC
• Atiya Smith-Wilson, PMHNP
• Amy Smith
• Charlene A Smith
• Delois Hunter Smith, LPC, NCC
• Dillon Smith, DO

• Endodontics in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Endodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2016; 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.