Dr Mark W Smith DDS LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DR MARK W SMITH DDS LLC

Practice address

7650 E State Road 252
Edinburgh, IN 46124-1094

Phone

(812) 526-2026

Fax

(812) 526-4828

NPI assigned

Jul 2, 2014

Last updated

Jul 2, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark W Smith, D,D,S,NPI 1699830265

Title

Owner

Phone

(812) 526-2026

Specialties & licenses 1

Addresses

Other names 1

• EDINBURGH FAMILY DENTISTRY Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark Wallace Smith, DDS

  • General Practice Dentistry
  • Edinburgh, IN
  • NPI 1699830265
  NPD (past) Authorized official

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

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404259200000",
    "number": "1730595489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7650 E STATE ROAD 252",
            "city": "EDINBURGH",
            "state": "IN",
            "postal_code": "461241094",
            "telephone_number": "812-526-2026",
            "fax_number": "812-526-4828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7650 E STATE ROAD 252",
            "city": "EDINBURGH",
            "state": "IN",
            "postal_code": "461241094",
            "telephone_number": "812-526-2026",
            "fax_number": "812-526-4828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MARK W SMITH DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-02",
        "last_updated": "2014-07-02",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-526-2026",
        "authorized_official_credential": "D,D,S,"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EDINBURGH FAMILY DENTISTRY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lisa D Bell, APRN
• Helen-Louise Boling, CPNP
• Kevin Michael Conlee, PH.D. HSPP
• Derek Todd Corn, DDS
• Shawn Davidson, COTA/L
• Edinburgh Chiropractic LLC (Sweet Chiropractic)
• Edinburgh Community School Corporation
• Edinburgh Dental Care, PC (Corn Family Dentistry)
• Edinburgh PLLC (Expert Eyecare Edinburh)
• Sheryl L Elston, M.D.

• Dentist in Edinburgh, IN
• Providers in Edinburgh, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; 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.