Blair Lawrence Smith, DENTIST

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12009 Issued in NC

Practice address

5710 Rockfish Rd
Hope Mills, NC 28348-1847

Phone

(910) 424-3623

NPI assigned

Aug 26, 2020

Last updated

Mar 22, 2021By 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

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Ryan, James, Wiles, Patel & Olsen LLP

  dba Village Family Dental

  • Dentist
  • Hope Mills, NC
  • NPI 1023122736
  NPD (past)
• Ryan, James, Wiles, Patel & Olsen LLP

  dba Village Family Dental

  • Dentist
  • Laurinburg, NC
  • NPI 1053795336
  NPD (past)
• Ryan, James, Wiles, Patel & Olsen LLP

  dba Southeastern Dental Specialists

  • Dentist
  • Fayetteville, NC
  • NPI 1346473279
  NPD (past)
• Ryan, James, Wiles, Patel & Olsen LLP

  dba Village Kids

  • Pediatric Dentistry
  • High Point, NC
  • NPI 1578071221

  General Practice

  NPD (past)
• Ryan, James, Wiles, Patel & Olsen LLP

  dba Village Family Dental

  • Dentist
  • Saint Pauls, NC
  • NPI 1689788366
  NPD (past)
• Ryan, James, Wiles, Patel & Olsen LLP

  dba Village Family Dental

  • Dentist
  • Fayetteville, NC
  • NPI 1740480722
  NPD (past)
• Ryan, James, Wiles, Patel & Olsen LLP

  dba Village Family Dental

  • Dentist
  • Fayetteville, NC
  • NPI 1750495693
  NPD (past)
• Ryan, James, Wiles, Patel & Olsen LLP

  dba All American Family Dental

  • Dentist
  • Fayetteville, NC
  • NPI 1801166145
  NPD (past)

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

{
    "created_epoch": "1598400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1659984029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2028 LITHO PL STE 300",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283042538",
            "telephone_number": "910-485-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5710 ROCKFISH RD",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "283481847",
            "telephone_number": "910-424-3623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2029 Valleygate Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283043772",
            "country_code": "US",
            "telephone_number": "910-485-8884",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3551 Dunn Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Eastover",
            "state": "NC",
            "postal_code": "283129417",
            "country_code": "US",
            "telephone_number": "910-437-0232",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2028 Litho Pl Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283042538",
            "country_code": "US",
            "telephone_number": "910-896-1475",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "312 W McLean St",
            "address_purpose": "LOCATION",
            "city": "Saint Pauls",
            "state": "NC",
            "postal_code": "283841726",
            "country_code": "US",
            "telephone_number": "910-446-1130",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "510 Hickory Ridge Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274099779",
            "country_code": "US",
            "telephone_number": "336-355-0557",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "109 McAlpine Ln",
            "address_purpose": "LOCATION",
            "city": "Laurinburg",
            "state": "NC",
            "postal_code": "283524637",
            "country_code": "US",
            "telephone_number": "910-276-6640",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "104 W Southern Ave",
            "address_purpose": "LOCATION",
            "city": "Raeford",
            "state": "NC",
            "postal_code": "283763218",
            "country_code": "US",
            "telephone_number": "910-875-4008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1031 Weiss Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283055630",
            "country_code": "US",
            "telephone_number": "910-486-4180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BLAIR",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "DENTIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-26",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "12009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Sherrill, LAT, ATC
• Siebo Compassionate Healthcare LLC
• Evelyn Small, M.A., CCC-SLP
• Latretra Joy Smith-Jones, DC
• Belinda Smith
• Eric J Smith, PHARMD
• James Haywood Smith Sr., PHARMACIST
• Jennifer Smith, FNP
• Southeastern Diabetic Shoes & Supplies LLC
• Southeastern Health Physician Services (Southeastern Medical Clinic Gray's Creek)

• General Practice Dentistry in Hope Mills, NC
• Providers in Hope Mills, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.