Organization Active NPI

Elizabeth H. Smith, DDS, PLLC

  • Dental Clinic/Center
  • Charlotte, NC
National Provider Identifier
1265199111
Registry record updated Nov 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ELIZABETH H. SMITH, DDS, PLLC
Practice address
2700 Coltsgate Rd Ste 100
Charlotte, NC 28211-3573
Phone
(704) 362-4646
NPI assigned
Nov 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Elizabeth Smith, DDSNPI 1295142925
Title
Dentist Owner
Phone
(704) 779-6423

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2700 Coltsgate Rd Ste 100
Charlotte, NC 28211-3573

Mailing address

8410 Cheverny Dr
Waxhaw, NC 28173-9072
Phone (704) 779-6423

National Provider Directory

National Provider Directory

Locations

2700 Coltsgate Rd
Ste 100
Charlotte, NC 28211
Phone (704) 362-4646

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1637798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637798400000",
    "number": "1265199111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8410 CHEVERNY DR",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281739072",
            "telephone_number": "704-779-6423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 COLTSGATE RD STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282113573",
            "telephone_number": "704-362-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH H. SMITH, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-25",
        "last_updated": "2021-11-25",
        "certification_date": "2021-11-25",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "704-779-6423",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2021; 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.