Dane E. Smith DDS PC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

D4773 Issued in OR

Legal business name

DANE E. SMITH DDS PC

Practice address

565 5TH St
Brookings, OR 97415-9702

Phone

(541) 469-5373

Fax

(541) 412-0177

NPI assigned

Sep 21, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dane E Smith, DDS

Title

Owner

Phone

(541) 756-3683

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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.

• William D Morrell, DDS

  • General Practice Dentistry
  • Brookings, OR
  • NPI 1114063518
  NPD (past)
• R. Scott Roberts, DDS PC

  • Oral and Maxillofacial Surgery (Dentist)
  • North Bend, OR
  • NPI 1154319176
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861591679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 CEDAR ST",
            "city": "NORTH BEND",
            "state": "OR",
            "postal_code": "974591108",
            "telephone_number": "541-756-3683",
            "fax_number": "541-756-1974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 5TH ST",
            "city": "BROOKINGS",
            "state": "OR",
            "postal_code": "974159702",
            "telephone_number": "541-469-5373",
            "fax_number": "541-412-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANE E. SMITH DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DANE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-756-3683",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OR",
            "license": "D4773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164848",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE #",
            "identifier": "D4773",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• County of Curry Brookings Harbor School District 17C (Brookings Harbor School District 17C)
• Kellie Marie Creaser, DNP, PMHNP-BC, FNP-C
• Howard Nelson Croy, P.A.
• Curry Health District (Curry Medical Center (formerly Brookings Medical Center))
• Curry Health District (Curry Medical Center)
• Ellen Dar, MD
• Nicholas Taylor Deering
• Olivia Ann Deitering
• Andrea Roberta Del Grande, LPC
• Dennis Demrest

• Oral and Maxillofacial Surgery (Dentist) in Brookings, OR
• Providers in Brookings, OR by specialty
• Oral and Maxillofacial Surgery (Dentist) in Oregon

• 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.