Morgan Boaen Smith

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN015810 Issued in GA

Practice address

4849 Paulsen St Ste 101
Savannah, GA 31405-4424

Phone

(912) 298-5437

Fax

(912) 298-5438

NPI assigned

Apr 10, 2017

Sex

Female

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": "1491782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571097600000",
    "number": "1699208264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4849 PAULSEN ST STE 101",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054424",
            "telephone_number": "912-298-5437",
            "fax_number": "912-298-5438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4849 PAULSEN ST STE 101",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054424",
            "telephone_number": "912-298-5437",
            "fax_number": "912-298-5438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MORGAN",
        "middle_name": "BOAEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-10",
        "last_updated": "2019-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "GA",
            "license": "DN015810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyler Thomas Smith
• Lisa C Smith, PHARMD
• Lisa P Smith, OT
• Lori Smith
• Manette Smith
• Regina Smith, MA
• Sandra Smith
• Sherry Yvette Smith, FNP-C
• Sidney P Smith, M.D
• Susan Smith, D.M.D.

• Pediatric Dentistry in Savannah, GA
• Providers in Savannah, GA by specialty
• Pediatric Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.