Organization Active NPI

Jeremy R Smith DMD and Associates LLC

Doing business as Lacour Family Dentistry

  • Dental Clinic/Center
  • Lilburn, GA
National Provider Identifier
1417661554
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JEREMY R SMITH DMD AND ASSOCIATES LLC
Doing business as
Lacour Family Dentistry
Practice address
5400 Lawrenceville Hwy NW Ste D
Lilburn, GA 30047-5956
Phone
(770) 921-6606
NPI assigned
Jan 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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

Authorized official

Name
Dr. Jeremy Robert Smith, DMDNPI 1033204821
Title
Owner
Phone
(770) 921-6066

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

5400 Lawrenceville Hwy NW Ste D
Lilburn, GA 30047-5956

Mailing address

5400 Lawrenceville Hwy NW Ste D
Lilburn, GA 30047-5956
Phone (770) 921-6606

Other names 1

  • Lacour Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1673481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673481600000",
    "number": "1417661554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 LAWRENCEVILLE HWY NW STE D",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300475956",
            "telephone_number": "770-921-6606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 LAWRENCEVILLE HWY NW STE D",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300475956",
            "telephone_number": "770-921-6606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEREMY R SMITH DMD AND ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-12",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-10",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-921-6066",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lacour Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lilburn, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; 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.