Organization Active NPI

J. Keith Smith, D.M.D., P.C.

  • General Practice Dentistry
  • Lithia Springs, GA
National Provider Identifier
1780892596
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN011118 Issued in GA
Legal business name
J. KEITH SMITH, D.M.D., P.C.
Practice address
1777 Lee Rd
Suite D
Lithia Springs, GA 30122-3073
Phone
(770) 948-1600
NPI assigned
May 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. James Keith Smith, D.M.D.NPI 1669573887
Title
Dentist Owner
Phone
(770) 948-1600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN011118 GA Primary

Addresses

Primary practice location

1777 Lee Rd
Suite D
Lithia Springs, GA 30122-3073

Mailing address

1777 Lee Rd
Suite D
Lithia Springs, GA 30122-3073
Phone (770) 948-1600

National Provider Directory

National Provider Directory

Locations

1777 Lee Rd
Ste D
Lithia Springs, GA 30122
Phone (404) 288-8433

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780892596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 LEE RD",
            "address_2": "SUITE D",
            "city": "LITHIA SPRINGS",
            "state": "GA",
            "postal_code": "301223073",
            "telephone_number": "770-948-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 LEE RD",
            "address_2": "SUITE D",
            "city": "LITHIA SPRINGS",
            "state": "GA",
            "postal_code": "301223073",
            "telephone_number": "770-948-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. KEITH SMITH, D.M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "770-948-1600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN011118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lithia Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.