Organization Active NPI

Smith Family Dentistry LLC

  • Dental Clinic/Center
  • Guin, AL
National Provider Identifier
1861201543
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SMITH FAMILY DENTISTRY LLC
Practice address
161 12TH Ave W Ste C
Guin, AL 35563-2257
Phone
(205) 468-3339
Fax
(205) 325-9704
NPI assigned
Jan 6, 2025
Last updated
Jan 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Authorized official

Name
Dr. Jordan Smith, DMDNPI 1760112080
Title
Owner/Dentist
Phone
(205) 468-3339

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
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

161 12TH Ave W Ste C
Guin, AL 35563-2257

Mailing address

PO Box 961
Guin, AL 35563-0961
Phone (205) 468-3339

National Provider Directory

National Provider Directory

Locations

161 12th Ave W
#C
Guin, AL 35563
Phone (205) 468-3339

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1736121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736121600000",
    "number": "1861201543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 961",
            "city": "GUIN",
            "state": "AL",
            "postal_code": "355630961",
            "telephone_number": "205-468-3339",
            "fax_number": "205-325-9704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 12TH AVE W STE C",
            "city": "GUIN",
            "state": "AL",
            "postal_code": "355632257",
            "telephone_number": "205-468-3339",
            "fax_number": "205-325-9704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-06",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "205-468-3339",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guin, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.