Grant M Smith, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D7116 Issued in OR

Practice address

831 Lancaster Dr NE
2
Salem, OR 97301-2676

Phone

(503) 362-8359

Fax

(503) 362-8351

NPI assigned

Sep 22, 2008

Last updated

Sep 22, 2008By the provider in NPPES

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

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

{
    "created_epoch": "1222041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222041600000",
    "number": "1912157405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5506 ROYAL OAKS DR",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970354279",
            "telephone_number": "503-922-9762",
            "fax_number": "503-362-8351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 LANCASTER DR NE",
            "address_2": "2",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973012676",
            "telephone_number": "503-362-8359",
            "fax_number": "503-362-8351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "GRANT",
        "middle_name": "M",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-22",
        "last_updated": "2008-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D7116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Karl Smith
• Daniel V Smith, PSY.D.
• Denise E Smith, LCSW
• Elaine Clare Smith, R.N.
• Emily Kathleen Smith, LMT
• Hallie Kay Smith, RDH
• Heather Smith, LPN
• Hope Smith
• Janessa Smith
• Janine Deborah Smith, RNFA

• Dentist in Salem, OR
• Providers in Salem, OR by specialty
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.