Philip Edwin Smith, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

SC 1830 Issued in SC

Practice address

509 E Main St
Lexington, SC 29072-3605

Phone

(803) 359-9991

Fax

(803) 359-3004

NPI assigned

Dec 31, 2006

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

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.

• DRS. Smith & Robinson, PA

  • General Practice Dentistry
  • Lexington, SC
  • NPI 1144386251
  NPD (past) Authorized official
• Family Dental Health Group LLC

  dba Family Dental Health of Old Mill

  • General Practice Dentistry
  • Lexington, SC
  • NPI 1336072883
  NPD (past)

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

{
    "created_epoch": "1167523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285790378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 E MAIN ST",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290723605",
            "telephone_number": "803-359-9991",
            "fax_number": "803-359-3004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 E MAIN ST",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290723605",
            "telephone_number": "803-359-9991",
            "fax_number": "803-359-3004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "PHILIP",
        "middle_name": "EDWIN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "SC 1830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z18302",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Layla Monique Smith
• Leah Lane Shutt Smith, MD
• Marion Reilley Smith
• Monica Smith
• Natalie Brooke Smith, COTA
• Rita Leake Smith, RDH
• Tabitha Butler Smith, M.S.W., L.M.S.W.
• Takis Smith
• Tasha R Smith
• Carrie West Smoak, PHARM.D.

• 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.