Mark Philip Smith, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401004938 Issued in VA

Practice address

816 W Main St
Danville, VA 24541-4205

Phone

(434) 792-2845

Fax

(434) 792-1494

NPI assigned

Mar 24, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mark Philip Smith DDS PC

  • Dentist
  • Danville, VA
  • NPI 1699709808
  NPD (past) Authorized official

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206316800000",
    "number": "1902077530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 W MAIN ST",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245414205",
            "telephone_number": "434-792-2845",
            "fax_number": "434-792-1494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 W MAIN ST",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245414205",
            "telephone_number": "434-792-2845",
            "fax_number": "434-792-1494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARK",
        "middle_name": "PHILIP",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-24",
        "last_updated": "2008-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401004938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Bruce Smith, PA
• Elizabeth Kathryn Smith, DO
• Gene Preston Smith, LCAS
• Joan Hope Smith, OT/L, CAPS
• M. Geoffrey Smith, M.D.
• Richard A Smith, M.D.
• Richard Francis Smith, M.D.
• Shannon C Smith, M.S, SLP/CF
• Jessica Snead, LPC
• Patti Pierce Snead, DPT

• General Practice Dentistry in Danville, VA
• Providers in Danville, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; 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.