Logan Michael Smith, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5080 Issued in NV

Practice address

9444 Double R Blvd Ste a
Reno, NV 89521-2981

Phone

(775) 826-2826

Fax

(775) 826-5772

NPI assigned

Sep 9, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Smith Dental Group

  • Dental Clinic/Center
  • Reno, NV
  • NPI 1952191470
  NPD Authorized official

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1407840010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9444 DOUBLE R BLVD STE A",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895212981",
            "telephone_number": "775-826-2826",
            "fax_number": "775-826-5772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9444 DOUBLE R BLVD STE A",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895212981",
            "telephone_number": "775-826-2826",
            "fax_number": "775-826-5772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LOGAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48680",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "5080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lazell Smith
• Leslie Scott Smith, MD
• Linda Diane Smith, APN
• Lisa Smith, SLP
• Lisa Marie Smith
• Lottie Smith
• Luke Hayes Smith, RD, LD
• Mackena Jo Smith
• Mariah Smith, OD
• Mary Ellen Smith, LCSW

• General Practice Dentistry in Reno, NV
• Providers in Reno, NV by specialty
• General Practice Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; 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.