Mark G Smith, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10978 Issued in SC

Practice address

2349 Cherry Rd Ste 49
Rock Hill, SC 29732-2132

Phone

(803) 590-3054

NPI assigned

Mar 17, 2010

Last updated

Dec 30, 2024By the provider in NPPES

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)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Oral Wellness Center of Virginia PLLC

  • Dental Clinic/Center
  • Charlottesville, VA
  • NPI 1003652207
  Authorized official Same address or phone
• Let's Smile of Purcellville PLLC

  • Dental Clinic/Center
  • Purcellville, VA
  • NPI 1548928039
  NPD (past)

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

{
    "created_epoch": "1268784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1427372671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12001 MARKET ST APT 201",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201906213",
            "telephone_number": "703-965-4188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2349 CHERRY RD STE 49",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297322132",
            "telephone_number": "803-590-3054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARK",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-17",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401006438",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "10978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Essence Keasia Smith
• Geruthal L Smith, MSW. CACI
• Jamila Me'Shae Smith, MA
• Lauren S. Smith, DDS
• Marcia Smith, MPA, B.S, A.A.S
• Rachel L. Smith, RBT
• Shannon Elizabeth Smith, LPTA
• Smooth Trip Transportation, LLC
• Maggie Snider, OTR/L
• Patricia Ann Snider, PHARMD

• General Practice Dentistry in Rock Hill, SC
• Providers in Rock Hill, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; 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.