Smith Pediatric Dentistry, Inc.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

SMITH PEDIATRIC DENTISTRY, INC.

Practice address

15380 E Bagley Rd
Middleburg HTS., OH 44130

Phone

(440) 888-6300

Fax

(440) 888-6329

NPI assigned

Sep 17, 2008

Organization subpart

No

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

Authorized official

Name

Dr. John Michael Smith, DDS

Title

President

Phone

(440) 888-6300

Specialties & licenses 1

Addresses

Other names 1

• Pediatric Dentistry, Inc. Doing business as

Locations

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

{
    "created_epoch": "1221609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221609600000",
    "number": "1346499142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15380 E BAGLEY RD",
            "city": "MIDDLEBURG HTS.",
            "state": "OH",
            "postal_code": "44130",
            "telephone_number": "440-888-6300",
            "fax_number": "440-888-6329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15380 E BAGLEY RD",
            "city": "MIDDLEBURG HTS.",
            "state": "OH",
            "postal_code": "44130",
            "telephone_number": "440-888-6300",
            "fax_number": "440-888-6329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH PEDIATRIC DENTISTRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-17",
        "last_updated": "2008-09-17",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-888-6300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Dentistry, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Janet Jane Shin, MD
• Ronald Lane Shreve, D.D.S.
• Silvestro Family Dental
• Julie A Simko, CNP
• Algirdas J. Skrinska, M.D.
• Southwest General Health Center
• Southwest General Health Center
• Southwest General Medical Group Inc
• Usharani V Tandra, MD
• Stephanie W Thomas, MD

• Pediatric Dentistry in Middleburg HTS., OH
• Providers in Middleburg HTS., OH by specialty
• Pediatric Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; 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.