Douglas G. Smith, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS 4185 Issued in TN

Practice address

11550 Chapman Hwy
Seymour, TN 37865-5044

Phone

(865) 579-3368

Fax

(865) 579-3369

NPI assigned

Nov 8, 2006

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

Other identifiers 2

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.

• Seymour Dental Associates PLLC

  • Dental Clinic/Center
  • Seymour, TN
  • NPI 1043964521
  NPD (past)
• Seymour Dentistry PLLC

  • Dental Clinic/Center
  • Seymour, TN
  • NPI 1649104209
  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186012800000",
    "number": "1972673168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11550 CHAPMAN HWY",
            "city": "SEYMOUR",
            "state": "TN",
            "postal_code": "378655044",
            "telephone_number": "865-579-3368",
            "fax_number": "865-579-3369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11550 CHAPMAN HWY",
            "city": "SEYMOUR",
            "state": "TN",
            "postal_code": "378655044",
            "telephone_number": "865-579-3368",
            "fax_number": "865-579-3369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DOUGLAS",
        "middle_name": "G.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS 4185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA PROV. ID",
            "identifier": "641244",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID",
            "identifier": "0058491",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany R. Simpson, FNP
• Tammy Sizemore
• Skyview Medical Center
• Samantha Slagle, B.A.
• Cathy C. Smith, DDS
• Kyle Robert Smith, D.D.S.
• Phyllis C Smith, FNP
• Whitaker Michael Smith, MD
• Smokey Mountain Adult Care
• Smoky Mountain in-Home Care, LLC (Right At Home)

• General Practice Dentistry in Seymour, TN
• Providers in Seymour, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2007; 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.