Austin James Smith

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

27565 Issued in FL

Practice address

2005 Thonotosassa Rd Ste B
Plant City, FL 33563-2972

Phone

(138) 752-3555

NPI assigned

Apr 18, 2022

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

State licenses

Practice roles

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.

• Little Fins Pediatric Dentistry PLLC

  • Pediatric Dentistry
  • Lithia, FL
  • NPI 1730049925
  NPD Authorized official

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

{
    "created_epoch": "1650240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1235872110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 THONOTOSASSA RD STE B",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335632972",
            "telephone_number": "138-752-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 THONOTOSASSA RD STE B",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335632972",
            "telephone_number": "138-752-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "AUSTIN",
        "middle_name": "JAMES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-18",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "27565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SKP Wound Care of Florida LLC
• Sharon Jeanne Slabic, APRN
• Cynthia Slapak
• Ivan Slaughter, PTA
• Steven Roy Slavkin, D.D.S.
• Jane McDowell Smith, OTR
• Lori Ann Smith, ARNP
• Stacee Williams Smith, M.S., SLP
• Steve W Smith, M.D.
• Teri Lee Smith, LMT

• Pediatric Dentistry in Plant City, FL
• Providers in Plant City, FL by specialty
• Pediatric Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.