NPIMap

Organization Active NPI

Dwight S. Smith, DDS PA

  • General Practice Dentistry
  • Goldsboro, NC
National Provider Identifier
1881771046
Registry record updated Oct 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4257 Issued in NC
Legal business name
DWIGHT S. SMITH, DDS PA
Practice address
2300 Wayne Memorial Dr
Suite F
Goldsboro, NC 27534-1726
Phone
(919) 734-3564
Fax
(919) 734-3797
NPI assigned
Nov 1, 2006
Last updated
Oct 5, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2009

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

Authorized official

Name
Dr. Dwight Stephen Smith, DDSNPI 1922023290
Title
President
Phone
(919) 734-3564

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 Dentistry 1223G0001X 4257 NC Primary

Addresses

Primary practice location

2300 Wayne Memorial Dr
Suite F
Goldsboro, NC 27534-1726

Mailing address

2300 Wayne Memorial Dr
Suite F
Goldsboro, NC 27534-1726
Phone (919) 734-3564

Other identifiers 1

IdentifierTypeStateIssuer
8997894MedicaidNC

National Provider Directory

National Provider Directory

Locations

2300 Wayne Memorial Dr
Ste F
Goldsboro, NC 27534
Phone (919) 734-3564

Practitioners & affiliated clinicians

Practitioners 4

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": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254700800000",
    "number": "1881771046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 WAYNE MEMORIAL DR",
            "address_2": "SUITE F",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275341726",
            "telephone_number": "919-734-3564",
            "fax_number": "919-734-3797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 WAYNE MEMORIAL DR",
            "address_2": "SUITE F",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275341726",
            "telephone_number": "919-734-3564",
            "fax_number": "919-734-3797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DWIGHT S. SMITH, DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2009-10-05",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DWIGHT",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-734-3564",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "4257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8997894",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2009; 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.