Active NPI
Smith Dental Care of Savannah, LLC
- General Practice Dentistry
- Savannah, GA
National Provider Identifier
1366119497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- SMITH DENTAL CARE OF SAVANNAH, LLC
- Practice address
- 7400 Abercorn St Ste 814
Savannah, GA 31406-2455 - Phone
- (912) 542-0432
- NPI assigned
- Aug 26, 2021
- Organization subpart
- Yes
- Parent organization
- SMITH DENTAL CARE OF ATHENS INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Charles M Smith Jr., DN 011212
- Title
- Dentist
- Phone
- (706) 255-0514
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
7400 Abercorn St Ste 814
Savannah, GA 31406-2455
Mailing address
3700 Atlanta Hwy Ste 10
Athens, GA 30606-7201
Phone (706) 255-0514
Other names 1
- Smith Dental Care of Athens
National Provider Directory
National Provider Directory- Part of
- Smith Dental Care of Athens Inc
Locations
7400 Abercorn St
Ste 814
Savannah, GA 31406
Phone (912) 542-0432
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Dental Clinic/Center
- Athens, GA
- NPI 1982172433
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629936000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1629936000000",
"number": "1366119497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3700 ATLANTA HWY STE 10",
"city": "ATHENS",
"state": "GA",
"postal_code": "306067201",
"telephone_number": "706-255-0514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7400 ABERCORN ST STE 814",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314062455",
"telephone_number": "912-542-0432"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMITH DENTAL CARE OF SAVANNAH, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SMITH DENTAL CARE OF ATHENS INC.",
"enumeration_date": "2021-08-26",
"last_updated": "2021-08-26",
"certification_date": "2021-08-26",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "706-255-0514",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "DN 011212"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Smith Dental Care of Athens",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.