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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. SCOTT RAYMOND SMITH D.D.S.
NPI 1154324002
Dentist - General Practice in Adrian, MI

Active since May 24, 2005PECOS Enrolled
770 RIVERSIDE AVE, STE 201, ADRIAN, MI 49221(517) 265-5577(517) 265-8068 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 13, 2026, Jun 17, 2024 (2 updates tracked since 2024).

About Dr. Scott Raymond Smith D.d.s. NPPES

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

DR. SCOTT RAYMOND SMITH D.D.S. (NPI 1154324002) is an individual general practice provider in Adrian, Michigan, licensed in Michigan (12556) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154324002
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SCOTT RAYMOND SMITHCredential: D.D.S.
Location Address770 RIVERSIDE AVE, STE 201Adrian, MI 49221-1465
Mailing Address770 Riverside Ave, Ste 201Adrian, MI 49221-1465 · (517) 265-5577 · Fax (517) 265-8068
Phone(517) 265-5577
Fax(517) 265-8068
Sole ProprietorNo
Enumeration DateMay 24, 2005
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
NPPES CertifiedJune 17, 2024
✔ NPI 1154324002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MI · 12556
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
770 RIVERSIDE AVE, Adrian, MI 49221
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Michigan, HRI Dental & Vision, Paramount.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Scott Raymond Smith D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49221 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

MCCULLOUGH, VARGAS, & ASSOCIATES, INC.
Counselor (Addiction (Substance Use Disorder))
770 RIVERSIDE AVE, STE 11
ADRIAN, MI 49221
Lenawee County (517) 264-2244
GERALD NELSON MCCULLOUGH AMA, CAADC
Counselor (Addiction (Substance Use Disorder))
770 RIVERSIDE AVE, STE 11
ADRIAN, MI 49221
Lenawee County (517) 264-2244
HELEN JAKSTAS RN,MHP,MS
Nurse Practitioner (Family)
770 RIVERSIDE AVE, SUITE 17
ADRIAN, MI 49221
Lenawee County (517) 265-8134
MR. GRADY ELAM LMSW
Social Worker (Clinical)
770 RIVERSIDE AVE, SUITE 11
ADRIAN, MI 49221
Lenawee County (517) 264-2244
SOUTHEASTERN ORTHOPEDICS PC
Orthopaedic Surgery
770 RIVERSIDE AVE, STE 105
ADRIAN, MI 49221
Lenawee County (517) 265-5230
PROMEDICA NORTHWEST OHIO CARDIOLOGY CONSULTANTS, LLC
Internal Medicine (Cardiovascular Disease)
770 RIVERSIDE AVE, SUITE 106
ADRIAN, MI 49221
Lenawee County (517) 266-0525
ALLISON EVA FULGENTI
Social Worker
770 RIVERSIDE AVE
ADRIAN, MI 49221
Lenawee County (517) 264-2244
DR. CHAD BURTLESS-CREPS D.D.S.
Dentist (General Practice)
770 RIVERSIDE AVE, SUITE #200
ADRIAN, MI 49221
Lenawee County (517) 263-9609

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 Scott Smith's NPI number?

The NPI number for Scott Smith is 1154324002. It was assigned to this individual provider in the NPPES registry on May 24, 2005.

Where is Scott Smith located?

Scott Smith practices at 770 Riverside Ave Ste 201, Adrian, MI 49221. The listed phone number is (517) 265-5577.

What is Scott Smith's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Scott Smith enrolled in Medicare?

Yes. Scott Smith is registered in the Medicare PECOS enrollment system.

What insurance does Scott Smith accept?

Health plans from Delta Dental of Michigan, HRI Dental & Vision and Paramount list Scott Smith as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Scott Smith was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.