Amy L Smith, DMD
Individual provider Active NPI General Practice Dentistry · Freeport, FL
NPI 1831209899 · NPPES record last updated Jun 2, 2026
Key facts
- NPI
- 1831209899
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- HAD69 (FL)
- Practice address
- 479 Highway 20 E
Freeport, FL 32439-3931 - Phone
- (850) 880-6568
- NPI assigned
- Aug 30, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241122003155 | FL | Practitioner - Dentist | 9335432764 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pancare of Florida, Inc | Current |
Accepting new patients | |
| Pancare of Florida, Inc | Past |
Accepting new patients |
Locations
11033 NW State Road 20
Bristol, FL 32321
Phone (850) 643-1155
106 NE 5th St
Carrabelle, FL 32322
Phone (850) 697-4121
479 State Highway 20 E
Freeport, FL 32439
Phone (850) 835-4121
403 E 11th St
Panama City Beach, FL 32401
Phone (850) 747-5599
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | HAD69 | FL | Yes |
Addresses
Primary practice location
479 Highway 20 E
Freeport, FL 32439-3931
Mailing address
403 E 11TH St
Panama City, FL 32401-3409
Phone (850) 747-5599
Other providers in Freeport, FL
- William Estes Scruggs
- Shine Chiropractic PLLC
- James J Shirley
- Lindsay L Shirley
- Silver Sands Psychological, Inc.
- Phillip Smith
- Robert L Teitelbaum
- Tillman Family Chiropractic, LLC
- Travis Christian Tillman
- Haley Timbrook
All providers in Freeport, FL · General Practice Dentistry in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.