DONALD L. SMITHA, DDS, MDS, PA NPI 1003005299

Dentist (Prosthodontics) in Jacksonville, FL

Organization Dentist Prosthodontics

About DONALD L. SMITHA, DDS, MDS, PA

Donald L. Smitha, Dds, Mds, Pa is a provider established in Jacksonville, Florida specializing in dentist (prosthodontics) . The NPI number of Donald L. Smitha, Dds, Mds, Pa is 1003005299 and was assigned on October 2007. The practitioner's primary taxonomy code is 1223P0700X with license number DN 5802 (FL). The provider is registered as an organization and their NPI record was last updated 13 years ago. Donald L. Smitha, Dds, Mds, Pa operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Donald L. Smitha Dds (President)

NPI

1003005299

Provider NameDONALD L. SMITHA, DDS, MDS, PA
Provider Location Address812 ALDERMAN RD JACKSONVILLE, FL 32211
Provider Mailing Address812 ALDERMAN RD JACKSONVILLE, FL 32211
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date10-24-2007
Last Update Date10-24-2007

Primary Taxonomy

Taxonomy Code1223P0700X
ClassificationDentist
TypeDental Providers
SpecializationProsthodontics
License No.DN 5802
License StateFL
Taxonomy DescriptionThat branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

Business Address

DONALD L. SMITHA, DDS, MDS, PA
812 ALDERMAN RD
JACKSONVILLE, FL
ZIP 32211
Phone: (904) 725-8282
Fax: (904) 725-7197

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Mailing Address

DONALD L. SMITHA, DDS, MDS, PA
812 ALDERMAN RD
JACKSONVILLE, FL
ZIP 32211
Phone: (904) 725-8282
Fax: (904) 725-7197

Authorized Official

Authorized Official NameDR. DONALD L. SMITHA DDS
Authorized Official TitlePRESIDENT
Authorized Official Phone(904) 725-8282

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
T 55259MEDICARE UPIN (02)FL
1215951132OTHER (01)
86023YMEDICARE PIN (08)FL
K7516OTHER (01)

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1215951132DR. DONALD L. SMITHA DDS, MDS
Individual
Dentist (Prosthodontics)812 ALDERMAN RD
JACKSONVILLE, FL 32211
(904) 725-8282

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.