David M Smith DDS MD LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

2010007393 Issued in MO

Legal business name

DAVID M SMITH DDS MD LLC

Doing business as

Raymore Oral and Maxillofacial Surgery

Practice address

909 W Foxwood Dr
Raymore, MO 64083-7200

Phone

(405) 848-7974

Fax

(405) 848-0033

NPI assigned

May 19, 2010

Last updated

May 19, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kathy Dresher

Title

VP of Billing

Phone

(405) 848-7974

Specialties & licenses 1

Addresses

Other names 1

• Raymore Oral and Maxillofacial Surgery Doing business as

Locations

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

{
    "created_epoch": "1274227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274227200000",
    "number": "1447579230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 UNITED FOUNDERS BLVD",
            "address_2": "SUITE 237",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731123958",
            "telephone_number": "405-848-7974",
            "fax_number": "405-848-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 W FOXWOOD DR",
            "city": "RAYMORE",
            "state": "MO",
            "postal_code": "640837200",
            "telephone_number": "405-848-7974",
            "fax_number": "405-848-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID M SMITH DDS MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-19",
        "last_updated": "2010-05-19",
        "status": "A",
        "authorized_official_last_name": "DRESHER",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "VP OF BILLING",
        "authorized_official_telephone_number": "405-848-7974"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MO",
            "license": "2010007393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Raymore Oral and Maxillofacial Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Oral and Maxillofacial Surgery (Dentist) in Raymore, MO
• Providers in Raymore, MO by specialty
• Oral and Maxillofacial Surgery (Dentist) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2010; 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.