Matthew Douglas Smith, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

11081 Issued in TN

Practice address

500 Lentz Dr Ste 90a
Madison, TN 37115-5135

Phone

(615) 678-1051

NPI assigned

Jun 14, 2019

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

State licenses

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

{
    "created_epoch": "1560470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560470400000",
    "number": "1639739345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 SHELBY AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372064146",
            "telephone_number": "302-442-5771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 LENTZ DR STE 90A",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371155135",
            "telephone_number": "615-678-1051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "620 South James Campbell Blvd",
            "address_purpose": "LOCATION",
            "city": "Colombia",
            "state": "TN",
            "postal_code": "38401",
            "country_code": "US",
            "telephone_number": "931-614-0983",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MATTHEW",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-14",
        "last_updated": "2019-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "11081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Pilon Smith
• Jodi Marie Smith
• Julianna Sabbak Smith
• Madeline Ashton Smith, RN
• Makenzie Smith
• Michael Wayne Smith
• Olivia Graham Smith
• Patrick Smith
• Micaela Jaynae Snider
• Scott Solomon, MA. MT-BC

• Dentist in Madison, TN
• Providers in Madison, TN by specialty
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2019; 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.