Angela B. Smith, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12010272A Issued in IN

Legal business name

ANGELA B. SMITH, D.D.S.

Practice address

101 Charles St
Loogootee, IN 47553-2221

Phone

(812) 295-4000

Fax

(812) 295-4626

NPI assigned

Nov 29, 2006

Organization subpart

No

Name

Angela Brooke Smith, D.D.S.NPI 1659475713

Title

President

Phone

(812) 295-4000

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

• Angela Brooke Smith, DDS

  • General Practice Dentistry
  • Loogootee, IN
  • NPI 1659475713

  General Practice

  NPD (past) Authorized official

Locations

• Family Dental Care, P.C. Other name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346317849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CHARLES ST",
            "city": "LOOGOOTEE",
            "state": "IN",
            "postal_code": "475532221",
            "telephone_number": "812-295-4000",
            "fax_number": "812-295-4626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CHARLES ST",
            "city": "LOOGOOTEE",
            "state": "IN",
            "postal_code": "475532221",
            "telephone_number": "812-295-4000",
            "fax_number": "812-295-4626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELA B. SMITH, D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "BROOKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-295-4000",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12010272A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Dental Care, P.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Logan Albright, PHARMD
• Priya Susan Alex, MD
• Alvarez Vision Services Inc
• Michael Manuel Alvarez, O.D.
• Rachel Marie Anderson, PHARM.D.
• Agnes C Bacala, M.D.
• Jennifer Ann Bailey, CCC-SLP
• Rick D Bauer, O.D.
• Janet L Baugh, NP
• Martha Ann Blackwell, PT

• All providers in Loogootee, IN
• General Practice Dentistry in Indiana

• 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.