Organization Active NPI

Smith General Dentistry, Inc.

  • General Practice Dentistry
  • Tulsa, OK
National Provider Identifier
1538328372
Registry record updated Jun 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4893 Issued in OK
Legal business name
SMITH GENERAL DENTISTRY, INC.
Practice address
3912 E 31St St
Tulsa, OK 74135-1509
Phone
(918) 747-0850
Fax
(918) 747-0863
NPI assigned
Jun 6, 2008
Last updated
Jun 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2008

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

Authorized official

Name
Dr. Gregg Allen Smith, D.D.S.NPI 1770575250
Title
Owner
Phone
(918) 747-0850

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4893 OK Primary

Addresses

Primary practice location

3912 E 31St St
Tulsa, OK 74135-1509

Mailing address

3912 E 31St St
Tulsa, OK 74135-1509
Phone (918) 747-0850

National Provider Directory

National Provider Directory

Locations

3912 E 31st St
Tulsa, OK 74135
Phone (918) 747-0850

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212710400000",
    "number": "1538328372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3912 E 31ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741351509",
            "telephone_number": "918-747-0850",
            "fax_number": "918-747-0863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3912 E 31ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741351509",
            "telephone_number": "918-747-0850",
            "fax_number": "918-747-0863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH GENERAL DENTISTRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-06",
        "last_updated": "2008-06-06",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "GREGG",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-747-0850",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "4893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; 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.