Eldon Smith III, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

116626942 Issued in TN

Practice address

1476 W Buckingham Rd
Garland, TX 75042-4201

Phone

(214) 919-4392

NPI assigned

Jan 2, 2014

Sex

Male

Sole proprietor

Yes

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": "1388620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474934400000",
    "number": "1962823385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1476 W BUCKINGHAM RD",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750424201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1476 W BUCKINGHAM RD",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750424201",
            "telephone_number": "214-919-4392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ELDON",
        "name_suffix": "III",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-02",
        "last_updated": "2016-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "116626942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Smiley Dental Broadway PLLC
• Smiley Dental Walnut, PLLC
• Smiline Dental Texas PLLC
• Barbara Ann Smith, FNP
• Chene Tamyron Smith, M.D.
• Elizabeth Smith, LCSW
• Jonathan Smith
• Kenneth Lee Smith
• Robert Hughes Smith Jr., D.D.S.
• Robyn Mary Smith

• Dentist in Garland, TX
• Providers in Garland, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; 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.