John Dale Smith DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30020412 Issued in OH

Legal business name

JOHN DALE SMITH DDS

Practice address

3455 Whipple Ave NW
Canton, OH 44718-3034

Phone

(330) 492-7889

Fax

(330) 492-7966

NPI assigned

Apr 20, 2010

Organization subpart

No

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

Authorized official

Name

Dr. John Dale Smith, DDS

Title

Dentist

Phone

(330) 492-7889

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1271721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402531200000",
    "number": "1467779199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3455 WHIPPLE AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447183034",
            "telephone_number": "330-492-7889",
            "fax_number": "330-492-7966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 WHIPPLE AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447183034",
            "telephone_number": "330-492-7889",
            "fax_number": "330-492-7966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN DALE SMITH DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-20",
        "last_updated": "2014-06-12",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "330-492-7889",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30020412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Canton, OH
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• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2014; 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.