Stevenson Smith DMD LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

STEVENSON SMITH DMD LLC

Doing business as

Smith & Jackson Family Dental

Practice address

911 Country Club Rd Ste 222
Eugene, OR 97401-6046

Phone

(801) 885-7639

NPI assigned

Jul 6, 2021

Organization subpart

No

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

Authorized official

Name

Stevenson Smith, DMDNPI 1083960793

Title

Owner

Phone

(801) 885-7639

Specialties & licenses 1

Addresses

Other names 1

• Smith & Jackson Family Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stevenson Sander Smith, DMD

  • General Practice Dentistry
  • Eugene, OR
  • NPI 1083960793
  NPD Authorized official

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

{
    "created_epoch": "1625529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625529600000",
    "number": "1174194617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34313 DEERWOOD DR",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974059662",
            "telephone_number": "801-885-7639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 COUNTRY CLUB RD STE 222",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016046",
            "telephone_number": "801-885-7639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVENSON SMITH DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-06",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "STEVENSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-885-7639",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smith & Jackson Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hannah Stevens Nauman
• Andrew Michael Stevens
• Jeton Stevens
• Kayla S Stevens, PA
• Lisa Rose Stevens, RN
• Colleen Stevenson, LMT
• Jamie Victoria Stevenson, CRNP
• Ann-Marie R Steward, LMT
• Linda N Steward, QMHA
• Stewart Mones, MD LLC

• Dental Clinic/Center in Eugene, OR
• Providers in Eugene, OR by specialty
• Dental Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; 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.