DR. JOHN MICHAEL SMITH D.D.S. NPI 1497758122

NPI Information

NPI: 1497758122
Provider Name: DR. JOHN MICHAEL SMITH, D.D.S.
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

Address:
15380 BAGLEY RD
MIDDLEBURG HEIGHTS, OH
ZIP 44130
Phone: (440) 888-6300
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DR. John Michael Smith, D.D.S. is a pediatric dentistry dentist in Middleburg Heights, OH. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. DR. John Michael Smith, D.D.S. NPI is 1497758122. 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:

15380 BAGLEY RD
MIDDLEBURG HEIGHTS, OH
ZIP 44130-824
Phone: (440) 888-6300
Fax: (440) 888-6329

The enumeration date for this NPI number is 5/27/2005 and was last updated on 7/8/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223P0221X	Dentist	Pediatric Dentistry	17587	OHIO	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	SM0772151	MEDICARE ID-TYPE UNSPECIFIED	OHIO
2	0596029	MEDICAID	OHIO
3	483091	OTHER		UNITED CONCORDIA INSURANC
4	U52140	MEDICARE UPIN	OHIO

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

NPI Synchronization or Removal

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