Tom M Smith, DDS, Inc

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

8585 Issued in TX

Legal business name

TOM M SMITH, DDS, INC

Practice address

444 Forest SQ
Suite a
Longview, TX 75605-4463

Phone

(903) 758-3329

Fax

(903) 758-4784

NPI assigned

Jun 11, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Tom M Smith, DDS, MSD

Title

Owner

Phone

(903) 758-3329

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1780844977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 FOREST SQ",
            "address_2": "SUITE A",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756054463",
            "telephone_number": "903-758-3329",
            "fax_number": "903-758-4784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 FOREST SQ",
            "address_2": "SUITE A",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756054463",
            "telephone_number": "903-758-3329",
            "fax_number": "903-758-4784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOM M SMITH, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-11",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TOM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-758-3329",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "8585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1891883757",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meliana Amazan Tiphete, APRN, FNP
• Timothy M Tobin, MD
• Renee Lynn Todd, LCSW
• Heather Lynn Tolar
• Latonya Toliver
• Brady Clinton Tomlin, ATC, LAT, MS
• Robert T. Tompkins, M.D.
• Terry Tompkins, APRN, BC
• Bailey Cain Toon, M.S., SLP-CF
• Aurora Torrans, FNP

• Periodontics in Longview, TX
• Providers in Longview, TX by specialty
• Periodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; 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.