DR. J RANDALL SMITH D.D.S.,M.S.
NPI 1114917010
Dentist - Orthodontics and Dentofacial Orthopedics in Tullahoma, TN

Active since October 24, 2005
205 S JACKSON ST, TULLAHOMA, TN 37388(931) 455-0146(931) 393-3863 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. J Randall Smith D.d.s.,m.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. J RANDALL SMITH D.D.S.,M.S. (NPI 1114917010) is an individual orthodontics and dentofacial orthopedics provider in Tullahoma, Tennessee, licensed in Tennessee (179) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1114917010
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameDR. J RANDALL SMITHCredential: D.D.S.,M.S.
Location Address205 S JACKSON STTullahoma, TN 37388-4426
Mailing Address205 S Jackson StTullahoma, TN 37388-4426 · (931) 455-0146 · Fax (931) 393-3863
Fax(931) 393-3863
Sole ProprietorNo
Enumeration DateOctober 24, 2005
Last NPPES UpdateJuly 8, 2007
NPI 1114917010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in TN · 179
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
205 S JACKSON ST, Tullahoma, TN 37388

Other Identifiers 3

Other844210United Concordia
Other0160873TN · Blue Cross Blue Shield
Other0006684Doral Dental

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Orthodontics and Dentofacial Orthopedics)
205 S JACKSON ST
TULLAHOMA, TN 37388
Dentist (Orthodontics and Dentofacial Orthopedics)
205 S JACKSON ST
TULLAHOMA, TN 37388
Dentist (Orthodontics and Dentofacial Orthopedics)
205 S JACKSON ST
TULLAHOMA, TN 37388
Dentist
205 S JACKSON ST
TULLAHOMA, TN 37388

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is J Smith's NPI number?

The NPI number for J Smith is 1114917010. It was assigned to this individual provider in the NPPES registry on October 24, 2005.

Where is J Smith located?

J Smith practices at 205 S Jackson St, Tullahoma, TN 37388. The listed phone number is (931) 455-0146.

What is J Smith's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

When was this NPI record last updated?

The NPPES record for J Smith was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.