Smith and Paul Dentistry LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SMITH AND PAUL DENTISTRY LLC

Practice address

12066 Smithfield Farm LN
Hagerstown, MD 21740-2166

Phone

(301) 582-3300

NPI assigned

May 19, 2021

Organization subpart

No

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

Authorized official

Name

Jasmine Ebersole

Title

Dental Assistant

Phone

(301) 582-3300

Specialties & licenses 1

Addresses

Other names 1

• Smithfield Dental Doing business as

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621382400000",
    "number": "1699349050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12066 SMITHFIELD FARM LN",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217402166",
            "telephone_number": "301-582-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12066 SMITHFIELD FARM LN",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217402166",
            "telephone_number": "301-582-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH AND PAUL DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-19",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-11",
        "status": "A",
        "authorized_official_last_name": "EBERSOLE",
        "authorized_official_first_name": "JASMINE",
        "authorized_official_title_or_position": "DENTAL ASSISTANT",
        "authorized_official_telephone_number": "301-582-3300"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smithfield Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelly Robynn Slocum, P.T.
• Alexandra R Slovikosky
• April Lynn Small, DNP
• Kelly Ann Nye Small
• Smile Design Centre
• Alfred E Smith Sr., DDS
• Arianna Smith, RBT
• Brittany Nicole Smith
• Camarra Smith
• Courtney Smith

• General Practice Dentistry in Hagerstown, MD
• Providers in Hagerstown, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.