Stephen M Smith, DDS,PA

Primary specialty

DentistTaxonomy code 122300000X

License

4687 Issued in NC

Practice address

405 N 35TH St
Morehead City, NC 28557-3107

Phone

(252) 247-2169

Fax

(252) 247-9563

NPI assigned

Apr 10, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Christopher D Bradley DDS PA

  • General Practice Dentistry
  • Morehead City, NC
  • NPI 1205095163
  NPD (past)
• Coastal Dentistry

  • General Practice Dentistry
  • Morehead City, NC
  • NPI 1417091877
  NPD (past)

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619930831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 N 35TH ST",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285573107",
            "telephone_number": "252-247-2169",
            "fax_number": "252-247-9563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N 35TH ST",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285573107",
            "telephone_number": "252-247-2169",
            "fax_number": "252-247-9563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "STEPHEN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS,PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "4687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn L. Smith, MA, LPA
• Kearstyn Leigh Smith, MS
• Michael Paul Smith, LCSW
• Millard Bedford Smith, D.D.S.
• Phyllis Christine Smith, LMFTA
• William G Smith III, PHARMD
• Frank Henry Smolkowicz, CRNA
• Jaclyn Solomon, COTA/L
• Soma Psyche Soul LLC
• Sound Medical, P.a. (Sound Medical)

• Dentist in Morehead City, NC
• Providers in Morehead City, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.