Brent Robert Smith, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11083 Issued in NC

Practice address

140 Mahaley Ave
Salisbury, NC 28144-2449

Phone

(704) 637-0150

NPI assigned

Jun 25, 2018

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

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": "1529884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529884800000",
    "number": "1760977672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 REMOUNT RD APT 10116",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282036486",
            "telephone_number": "704-497-0170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 MAHALEY AVE",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281442449",
            "telephone_number": "704-637-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BRENT",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-25",
        "last_updated": "2018-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "11083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Scott Slagle, OD
• Michelle Sloop, RPH
• Sheila M. Smalls-Stokes, M.D.
• Amy Eloise Smith, LPTA
• Blake Landon Smith, PA
• Chanell N Smith
• David N Smith, MD
• Eric Smith, L.P.C.
• Katelyn Marie Smith, PHYSICIAN ASSISTANT
• Keisha Smith, PSY.D.

• General Practice Dentistry in Salisbury, NC
• Providers in Salisbury, 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 Jun 25, 2018; 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.