Eric J. Smith, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

SC8365 Issued in SC

Practice address

114 East Hilton Street
Kershaw, SC 29067

Phone

(803) 475-6052

Fax

(803) 475-4407

NPI assigned

Jan 9, 2007

Last updated

Mar 27, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eric J Smith DDS PC

  • Oral and Maxillofacial Surgery Clinic/Center
  • Lynchburg, VA
  • NPI 1538629134
  NPD (past) Authorized official
• 114 Kershaw Dental, PC

  • General Practice Dentistry
  • Kershaw, SC
  • NPI 1043699713
  NPD (past)

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553644800000",
    "number": "1780733055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7",
            "city": "KERSHAW",
            "state": "SC",
            "postal_code": "29067",
            "telephone_number": "803-475-6052",
            "fax_number": "803-475-4407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 EAST HILTON STREET",
            "city": "KERSHAW",
            "state": "SC",
            "postal_code": "29067",
            "telephone_number": "803-475-6052",
            "fax_number": "803-475-4407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ERIC",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401007612",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "SC8365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nell Faulkenberry Robinson, RPH
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• Sandhills Medical Foundation, Inc. (Sandhills Medical Pharmacy #4)
• Ashley Schram, LMT
• Sentinel Health Partners, PA
• Samantha Snipes, ATC
• Speech Haus, LLC
• Charles Ervin Spencer, RPH
• Courtney Sullivan, FNP-C
• The Beacon Counseling Center, LLC

• General Practice Dentistry in Kershaw, SC
• Providers in Kershaw, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.