Organization Active NPI

David W. Smith, DDS PLLC

  • General Practice Dentistry
  • Cordova, TN
National Provider Identifier
1669811634
Registry record updated Jun 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DAVID W. SMITH, DDS PLLC
Practice address
831 Timber Creek Dr
Ste. #1
Cordova, TN 38018-3108
Phone
(901) 754-8080
Fax
(901) 754-7903
NPI assigned
Jun 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2013

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

Authorized official

Name
Dr. David Watts Smith, DDSNPI 1902979271
Title
Owner/Dentist
Phone
(901) 754-8080

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

831 Timber Creek Dr
Ste. #1
Cordova, TN 38018-3108

Mailing address

831 Timber Creek Dr
Ste. #1
Cordova, TN 38018-3108
Phone (901) 754-8080

National Provider Directory

National Provider Directory

Locations

831 Timber Creek Dr
Ste 1
Cordova, TN 38018
Phone (901) 754-8080

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1371859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371859200000",
    "number": "1669811634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 TIMBER CREEK DR",
            "address_2": "STE. #1",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380183108",
            "telephone_number": "901-754-8080",
            "fax_number": "901-754-7903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 TIMBER CREEK DR",
            "address_2": "STE. #1",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380183108",
            "telephone_number": "901-754-8080",
            "fax_number": "901-754-7903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID W. SMITH, DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-22",
        "last_updated": "2013-06-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "WATTS",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "901-754-8080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2013; 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.