Lynn E Smith, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D6012 Issued in OR

Practice address

3975 Mercantile Dr
Suite 167
Lake Oswego, OR 97035-3595

Phone

(503) 675-7333

Fax

(503) 675-7272

NPI assigned

Oct 6, 2006

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1205923513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3975 SW MERCANTILE DR.",
            "address_2": "SUITE 167",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "97035",
            "telephone_number": "503-675-7333",
            "fax_number": "503-675-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3975 MERCANTILE DR",
            "address_2": "SUITE 167",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970353595",
            "telephone_number": "503-675-7333",
            "fax_number": "503-675-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LYNN",
        "middle_name": "E",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D6012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colin L Smith, DMD
• Cullen McClay Smith, PHARMD
• Gwendolyn Schulze Smith, PT
• Jordan David Smith, M.D.
• Laura Hoverson Smith, PT
• Sharla Smith, PTA
• Rebecca Ann Snuggs
• Soaring Crane Acuouncture LLC
• Jennifer Somerscales, LMT
• Isaiah-Zakai Spann

• General Practice Dentistry in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.