Courtney Cleary Smith, D.M.D

Primary specialty

DentistTaxonomy code 122300000X

License

22DI02399600 Issued in NJ

Practice address

501 N Haddon Ave Ste 7
Haddonfield, NJ 08033-1753

Phone

(215) 858-0442

NPI assigned

Jun 30, 2008

Last updated

Oct 27, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• CCS Dental LLC

  dba Courtney Cleary DMD Family and Cosmetic Dentistry

  • Dental Clinic/Center
  • Haddonfield, NJ
  • NPI 1487319216
  NPD Authorized official

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1568624658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 JEFFERSON AVE",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080333857",
            "telephone_number": "215-858-0442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N HADDON AVE STE 7",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080331753",
            "telephone_number": "215-858-0442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "COURTNEY",
        "middle_name": "CLEARY",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-30",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02399600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shari Saluck, D.C., L.L.C.
• Andrew Jay Silverman, L.P.C
• Jaclyn Silverman
• April Sims, OBAT NAVIGATOR
• Henry J Smergel, MD
• Judith Smith, LCSW
• Rebecca Smith, OTR/L
• James B Soffer, DDS
• Janet Ruth Sokoloff, MSW, LCSW
• South Jersey Counseling Associates, Inc.

• Dentist in Haddonfield, NJ
• Providers in Haddonfield, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; 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.