Active NPI
Richard F Smith, DMD
- Dentist
- Fairmount, GA
National Provider Identifier
1770639726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 9660
- Practice address
- 2285 Hwy 411 North
Fairmount, GA 30139 - Phone
- (706) 337-2577
- Fax
- (678) 493-2671
- NPI assigned
- Jan 25, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9660 | GA | MD | Medical Physician Assistant |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 9660 | GA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2285 Hwy 411 North
Fairmount, GA 30139
Mailing address
PO Box 397
Fairmount, GA 30139
Phone (706) 337-2577
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1770639726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 397",
"city": "FAIRMOUNT",
"state": "GA",
"postal_code": "30139",
"telephone_number": "706-337-2577",
"fax_number": "678-493-2671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2285 HWY 411 NORTH",
"city": "FAIRMOUNT",
"state": "GA",
"postal_code": "30139",
"telephone_number": "706-337-2577",
"fax_number": "678-493-2671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "RICHARD",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "9660",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairmount, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.