Lynette L Smith, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

5768 Issued in NC

Practice address

933 Old Rockford Street
Ste #7
Mount Airy, NC 27030-5356

Phone

(336) 789-5306

Fax

(336) 789-3311

NPI assigned

Apr 2, 2007

Sex

Female

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

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.

• G. Bennett Smith, DDS & Lynette L. Smith, DDS, PA

  • Dental Clinic/Center
  • Mount Airy, NC
  • NPI 1811132194
  NPD (past) Authorized official

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306967922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 OLD ROCKFORD STREET",
            "address_2": "STE #7",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270305356",
            "telephone_number": "336-789-5306",
            "fax_number": "336-789-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 OLD ROCKFORD STREET",
            "address_2": "STE #7",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270305356",
            "telephone_number": "336-789-5306",
            "fax_number": "336-789-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LYNETTE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "5768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8997919",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charlotte Draper Smith
• Craig William Smith, LCSW
• Grayson Bennett Smith Jr., DDS
• Joseph Dan Smith
• Kristin Smith, CCC-SLP
• Melissa W. Smith, D.D.S.
• Paul Smith, DPT
• Robert Lee Smith, MD
• Whitney Blackwell Smith, LPC
• Amy Snow, FNP-C

• Dentist in Mount Airy, NC
• Providers in Mount Airy, NC by specialty
• Dentist 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.