Erin A Smith, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

041413326 Issued in VA

Practice address

300 S. Centers St.
Goldsboro, NC 27530-4087

Phone

(919) 947-0800

Fax

(919) 947-5359

NPI assigned

Sep 26, 2011

Last updated

Jun 2, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Timothy O Imafidon Jr DDS PA

  dba Goldsboro Pediatric Dentistry and Orthodontics

  • Dental Clinic/Center
  • Goldsboro, NC
  • NPI 1720521982
  NPD (past)

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

{
    "created_epoch": "1316995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1962785923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S. CENTERS ST.",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275304087",
            "telephone_number": "919-947-0800",
            "fax_number": "919-947-5359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S. CENTERS ST.",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275304087",
            "telephone_number": "919-947-0800",
            "fax_number": "919-947-5359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ERIN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-26",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NC",
            "license": "10521",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "VA",
            "license": "041413326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl M Smith, PTA
• Collin Daniel Smith, DO
• David A. Smith, LCAS
• Deborah Jolliff Smith, DDS
• Dwight Stephen Smith, DDS
• James T. Smith, PSY.D.
• Jessica L Smith
• Jordan Cole Smith, RD
• Joyce S Smith, NP-C
• Kelly J Smith

• Orthodontics and Dentofacial Orthopedics Dentistry in Goldsboro, NC
• Providers in Goldsboro, NC by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; 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.