Douglas Edward Smith, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

GADN008086 Issued in GA

Practice address

5102 Paulsen St BLDG 8
Savannah, GA 31405-4624

Phone

(912) 655-8855

Fax

(912) 335-3416

NPI assigned

May 22, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Doug Smith DDS Orthodontics LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Savannah, GA
  • NPI 1174898340
  NPD
• Savannah Sleep Consultants LLC

  • Interventional Pain Medicine Physician
  • Savannah, GA
  • NPI 1982177960

  Orthodontics and Dentofacial Orthopedics

  NPD

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1821207374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5102 PAULSEN ST BLDG 8",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054624",
            "telephone_number": "912-655-8855",
            "fax_number": "912-335-3416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5102 PAULSEN ST BLDG 8",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054624",
            "telephone_number": "912-655-8855",
            "fax_number": "912-335-3416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DOUGLAS",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "GA",
            "license": "GADN008086",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "GA",
            "license": "8086",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE PROVIDER & DME SUPPLIER",
            "identifier": "274736629",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany Frankhouser Smith, FNP
• Charita Nicole Smith, LCSW, MAC
• Chavon Smith
• Craig Smith, M.D.
• David Helmar Smith, MD
• Edward Angus Jackson Smith, D.D.S.
• Erin Michelle Smith, FNP-BC
• Evalee Paige Smith, LCSW
• Georgegtte Shari Smith, BSN, RN
• Gerard Smith, D.M.D.

• Orthodontics and Dentofacial Orthopedics Dentistry in Savannah, GA
• Providers in Savannah, GA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.