Organization Active NPI

Vernon Smith DMD PLLC

  • Dentist
  • Lakeland, FL
National Provider Identifier
1629523626
Registry record updated Aug 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN19861 Issued in FL
Legal business name
VERNON SMITH DMD PLLC
Practice address
4145 US Highway 98 N
Lakeland, FL 33809-3830
Phone
(863) 858-3891
Fax
(863) 859-5301
NPI assigned
Aug 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2016

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

Authorized official

Name
Vernon Stephen Smith, DMD
Title
Dentist
Phone
(863) 858-3891

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN19861 FL Primary

Addresses

Primary practice location

4145 US Highway 98 N
Lakeland, FL 33809-3830

Mailing address

4145 US Highway 98 N
Lakeland, FL 33809-3830
Phone (863) 858-3891

Other names 1

  • Quality Dental Care of Lakeland Doing business as

National Provider Directory

National Provider Directory

Locations

4145 US Highway 98 N
Lakeland, FL 33809
Phone (863) 858-3891

NPI Registry JSON

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

{
    "created_epoch": "1471564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471564800000",
    "number": "1629523626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4145 US HIGHWAY 98 N",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338093830",
            "telephone_number": "863-858-3891",
            "fax_number": "863-859-5301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4145 US HIGHWAY 98 N",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338093830",
            "telephone_number": "863-858-3891",
            "fax_number": "863-859-5301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERNON SMITH DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-19",
        "last_updated": "2016-08-19",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "VERNON",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "863-858-3891",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN19861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quality Dental Care of Lakeland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2016; 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.