Scott R. Smith DDS.,PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12556

Legal business name

SCOTT R. SMITH DDS.,PC

Practice address

770 Riverside Ave
Suite #201
Adrian, MI 49221-1476

Phone

(517) 265-5577

Fax

(517) 265-8068

NPI assigned

Dec 9, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Scott Raymond Smith, D.D.S.NPI 1154324002

Title

President

Phone

(517) 265-5577

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Scott Raymond Smith, D.D.S.

  • General Practice Dentistry
  • Adrian, MI
  • NPI 1154324002
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1228780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718582400000",
    "number": "1609011311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 RIVERSIDE AVE",
            "address_2": "SUITE #201",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492211476",
            "telephone_number": "517-265-5577",
            "fax_number": "517-265-8068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 RIVERSIDE AVE",
            "address_2": "SUITE #201",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492211476",
            "telephone_number": "517-265-5577",
            "fax_number": "517-265-8068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT R. SMITH DDS.,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-09",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "517-265-5577",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": "12556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cody Schramm
• Hunter Andrew Schramm
• Michelle Schroeder, PMHNP
• Kyle Schulz
• Scott C. Hood, DDS, P.C.
• Lori A Scouten
• LC Scribbling
• Sheila Sears
• Segues Christian Counseling LLC
• Semmawrightpodiatry PC

• General Practice Dentistry in Adrian, MI
• Providers in Adrian, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.