Scott Michael Smith, DDS, MD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

29219 Issued in TX

Practice address

10905 Memorial Hermann Dr Ste 100
Pearland, TX 77584-3490

Phone

(713) 340-0515

NPI assigned

Apr 23, 2013

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

Opted out of Medicare

Previously, effective Aug 17, 2020 through Aug 17, 2026

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Oral & Maxillofacial Surgery Associates of Texas

  • Oral and Maxillofacial Surgery (Dentist)
  • Houston, TX
  • NPI 1962186338
  NPD
• Pearland Oral & Maxillofacial Surgery Associates, PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Pearland, TX
  • NPI 1053591479
  NPD (past)
• Southwest Center for Oral and Maxillofacial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Missouri City, TX
  • NPI 1003014416
  NPD (past)

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

{
    "created_epoch": "1366675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1184068918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10905 MEMORIAL HERMANN DR STE 100",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775843490",
            "telephone_number": "713-340-0515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10905 MEMORIAL HERMANN DR STE 100",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775843490",
            "telephone_number": "713-340-0515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7515 Main St Ste 720",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770304517",
            "country_code": "US",
            "telephone_number": "713-795-4120",
            "fax_number": "713-486-4333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2307 W Baker Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Baytown",
            "state": "TX",
            "postal_code": "775212378",
            "country_code": "US",
            "telephone_number": "281-422-0511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SCOTT",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DDS, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-23",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "29219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mikayla Smith, PHARMD
• Mya Smith
• Perry Lee Smith II, O.D.
• Rnae'Sha Frances Smith, CPHT
• Samone Smith, CNA
• Sherry Smith
• Stephanie Smith, PT, DPT
• Susan Smith, PT
• Toni L Smith, PA-C
• SNG - Pearland Dialysis Center LP

• Oral and Maxillofacial Surgery (Dentist) in Pearland, TX
• Providers in Pearland, TX by specialty
• Oral and Maxillofacial Surgery (Dentist) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.