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GRETA R SMIDT
NPI 1124682497
Dentist - Prosthodontics in Jasper, FL

Active since April 23, 2019
413 5TH AVE NW, JASPER, FL 32052(229) 269-5001 Get Directions Write a Review

NPPES record last updated: January 23, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 23, 2023, Dec 18, 2022, Sep 20, 2022 and 1 more (4 updates tracked since 2019).

About Greta R Smidt NPPES

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

GRETA R SMIDT (NPI 1124682497) is an individual prosthodontics provider in Jasper, Florida, licensed in California (108257) and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1124682497
Entity TypeIndividualFemale
Primary Taxonomy1223P0700X
Provider Legal NameGRETA R SMIDT
Location Address413 5TH AVE NWJasper, FL 32052-7801
Mailing Address11936 Darlington Ave Apt 104Los Angeles, CA 90049-5651 · (229) 251-7570
Phone(229) 269-5001
Sole ProprietorNo
Enumeration DateApril 23, 2019
Last NPPES UpdateJanuary 23, 20234 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2023
✔ NPI 1124682497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · ProsthodonticsDental Providers
Taxonomy Code1223P0700X
Licenses✔ Licensed in CA · 108257✔ Licensed in FL · DN24543
Definition
That 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.
Also ListedDentistTaxonomy 122300000X · License 7282 (LA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
413 5TH AVE NW, Jasper, FL 32052
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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.

B A R MEDICAL CORPORATION
Internal Medicine (Geriatric Medicine)
413 5TH AVE NW
JASPER, FL 32052
Hamilton County (386) 792-2985
RENALDAS ALGIRDAS SMIDTAS
Internal Medicine
413 5TH AVE NW
JASPER, FL 32052
Hamilton County (386) 792-0753
IRVIN C. BEMBRY, M.D.P.A.
Family Medicine
413 5TH AVE NW
JASPER, FL 32052
Hamilton County (386) 792-2985
IRVIN CARLYLE BEMBRY M.D.
Family Medicine
413 5TH AVE NW
JASPER, FL 32052
Hamilton County (386) 792-2985

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 Greta Smidt's NPI number?

The NPI number for Greta Smidt is 1124682497. It was assigned to this individual provider in the NPPES registry on April 23, 2019.

Where is Greta Smidt located?

Greta Smidt practices at 413 5th Ave NW, Jasper, FL 32052. The listed phone number is (229) 269-5001.

What is Greta Smidt's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

When was this NPI record last updated?

The NPPES record for Greta Smidt was last updated on January 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.