Organization Active NPI

Smith Dental Care of Savannah, LLC

  • General Practice Dentistry
  • Savannah, GA
National Provider Identifier
1366119497
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
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.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Other name

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.

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.

Verify at the official NPI Registry.