Deena Holliman Smith, DMD, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN010549 Issued in GA

Legal business name

DEENA HOLLIMAN SMITH, DMD, PC

Practice address

205 Medical CT
Forsyth, GA 31029-1662

Phone

(478) 994-1171

NPI assigned

Jun 4, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Deena Holliman SmithNPI 1992926091

Title

President

Phone

(478) 994-1171

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Deena Holliman Smith, D.M.D

  • General Practice Dentistry
  • Forsyth, GA
  • NPI 1992926091
  NPD (past) Authorized official

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306884937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 MEDICAL CT",
            "city": "FORSYTH",
            "state": "GA",
            "postal_code": "310291662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 MEDICAL CT",
            "city": "FORSYTH",
            "state": "GA",
            "postal_code": "310291662",
            "telephone_number": "478-994-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEENA HOLLIMAN SMITH, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DEENA",
        "authorized_official_middle_name": "HOLLIMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "478-994-1171"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN010549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Consultants' Pharmacy LLC (Chichesters Institutional Pharmacy)
• Core Therapy of Middle Ga LLC
• County of Monroe Health Department
• Ellen Faith Criswell
• Dawson Family Medicine, LLC
• Milan Dhanani, DMD
• Bryan Di Cicco, DO
• Dialysis Center of Forsyth LLC
• Kayla Dobbins, FNP-C
• Dr Thomas B Perry OD PC

• General Practice Dentistry in Forsyth, GA
• Providers in Forsyth, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.