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DR. PAUL R SMITH DDS NPI 1174582928


NPI Information

NPI: 1174582928
Provider Name: DR. PAUL R SMITH, DDS
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

Address:
5345 SPRING STREET
DAVENPORT, IA
ZIP 52807
Phone: (563) 359-1601
Get Directions

DR. Paul R Smith, DDS is an oral and maxillofacial surgery dentist in Davenport, IA. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Paul R Smith, DDS NPI is 1174582928. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5345 SPRING STREET
DAVENPORT, IA
ZIP 52807-000
Phone: (563) 359-1601
Fax: (563) 355-7111

The enumeration date for this NPI number is 3/21/2006 and was last updated on 7/8/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial Surgery8846MARYLANDNo
21223S0112XDentistOral and Maxillofacial Surgery7850IOWAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10142778MEDICAIDIOWA
2U62201MEDICARE UPINIOWA
357072MEDICARE ID-TYPE UNSPECIFIEDIOWACLINTON MEDICARE #
405443MEDICARE ID-TYPE UNSPECIFIEDIOWADAVENPORT MEDICAIRE #
554435MEDICARE UPIN
6142778MEDICAIDIOWA
72142778MEDICAIDIOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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