Terrance Lee Smith, DDS

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

5960 Issued in NC

Practice address

2029 Valleygate Dr
Suite 201
Fayetteville, NC 28304-3688

Phone

(910) 485-8884

Fax

(910) 485-8287

NPI assigned

Sep 16, 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

• Ryan, James, Wiles, Patel & Olsen LLP

  dba Southeastern Dental Specialists

  • Dentist
  • Fayetteville, NC
  • NPI 1346473279
  Medicare reassignment NPD
• Ryan, James, Wiles, Patel & Olsen LLP

  dba Village Family Dental

  • Dentist
  • Fayetteville, NC
  • NPI 1750495693
  NPD
• Ryan, James, Wiles, Patel & Olsen LLP

  dba Village Family Dental

  • Dentist
  • Hope Mills, NC
  • NPI 1023122736
  NPD (past)
• Ryan, James, Wiles, Patel & Olsen LLP

  dba Village Family Dental

  • Dentist
  • Laurinburg, NC
  • NPI 1053795336
  NPD (past)
• Ryan, James, Wiles, Patel & Olsen LLP

  dba Village Family Dental

  • Dentist
  • Saint Pauls, NC
  • NPI 1689788366
  NPD (past)
• Ryan, James, Wiles, Patel & Olsen LLP

  dba Village Family Dental

  • Dentist
  • Fayetteville, NC
  • NPI 1740480722
  NPD (past)
• Ryan, James, Wiles, Patel & Olsen LLP

  dba All American Family Dental

  • Dentist
  • Fayetteville, NC
  • NPI 1801166145
  NPD (past)
• Valleygate Dental Surgery Center of Fayetteville, LLC

  dba Valleygate Dental Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Fayetteville, NC
  • NPI 1003321365
  NPD (past)
• Valleygate Dental Surgery Center of the West LLC

  dba Valleygate Dental Surgery Center of The Triad

  • Ambulatory Surgical Clinic/Center
  • Greensboro, NC
  • NPI 1194230573
  NPD (past)

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235235169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2029 VALLEYGATE DR",
            "address_2": "SUITE 201",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043688",
            "telephone_number": "910-485-8884",
            "fax_number": "910-485-8287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2029 VALLEYGATE DR",
            "address_2": "SUITE 201",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043688",
            "telephone_number": "910-485-8884",
            "fax_number": "910-485-8287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TERRANCE",
        "middle_name": "LEE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "NC",
            "license": "5960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8997905",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shonda Renee Smith
• Stefanie Smith, LCMHCA
• Sylvester Own Smith III, DDS
• Tamara Smith, MSW, LCSW-A
• Tany'Sha Smith
• Thurlene T Smith
• Tonya L Smith
• Yvonne Denise Smith, LCAS, CCS
• Melissa Smitherman, SLP
• Keelie Smithers

• Prosthodontics in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Prosthodontics in North 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.