Jon D Smith, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3474 Issued in SC

Practice address

110 Charter Oak Rd
Lexington, SC 29072-9710

Phone

(803) 359-6143

Fax

(803) 359-6140

NPI assigned

Jul 6, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• South Shore Dental LLC

  • General Practice Dentistry
  • Lexington, SC
  • NPI 1396671301
  NPD Authorized official
• SS Dental LLC

  dba Southern Shores Dental of Columbia

  • Dental Clinic/Center
  • Columbia, SC
  • NPI 1144974031
  NPD Authorized official

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235160169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 CHARTER OAK RD",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290729710",
            "telephone_number": "803-359-6143",
            "fax_number": "803-359-6140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CHARTER OAK RD",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290729710",
            "telephone_number": "803-359-6143",
            "fax_number": "803-359-6140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JON",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "3474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Wane Smith, PH.D., R.PH.
• Gretchen A. Smith, MSW, LISW-CP
• Jaydra Smith
• Jessica Smith, MS, OT/L
• Johnny Y Smith, MD
• Julia H Smith, LISW-CP
• Karen A. Smith, R.PH
• Karen Gregory Smith, MSP
• Kassidy Smith
• Kaymarie Smith

• General Practice Dentistry in Lexington, SC
• Providers in Lexington, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.