A. TODD SMITH, DDS PA NPI 1275500167

Oral & Maxillofacial Surgery in Winston Salem, NC

Organization Oral & Maxillofacial Surgery

About A. TODD SMITH, DDS PA

A. Todd Smith, Dds Pa is a provider established in Winston Salem, North Carolina specializing in oral & maxillofacial surgery. The NPI number of A. Todd Smith, Dds Pa is 1275500167 and was assigned on March 2006. The practitioner's primary taxonomy code is 204E00000X with license number 3596 (NC). The provider is registered as an organization and their NPI record was last updated 10 years ago. A. Todd Smith, Dds Pa operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is A Todd Smith Dds (Oral Surgeon)

NPI

1275500167

Provider NameA. TODD SMITH, DDS PA
Provider Location Address1601 SOUTH HAWTHORNE ROAD WINSTON SALEM, NC 27103
Provider Mailing Address1601 SOUTH HAWTHORNE ROAD WINSTON SALEM, NC 27103
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date03-01-2006
Last Update Date03-19-2010

Primary Taxonomy

Taxonomy Code204E00000X
ClassificationOral & Maxillofacial Surgery
TypeAllopathic & Osteopathic Physicians
License No.3596
License StateNC
Taxonomy DescriptionOral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

Business Address

A. TODD SMITH, DDS PA
1601 SOUTH HAWTHORNE ROAD
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 765-9550
Fax: (336) 765-9552

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Mailing Address

A. TODD SMITH, DDS PA
1601 SOUTH HAWTHORNE ROAD
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 765-9550
Fax: (336) 765-9552

Authorized Official

Authorized Official Name A TODD SMITH DDS
Authorized Official TitleORAL SURGEON
Authorized Official Phone(336) 765-9550

Group Taxonomy


193200000X MULTI-SPECIALTY GROUP - This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery5848NCNo

Taxonomy Description: oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

2204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery4949NCNo

Taxonomy Description: oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

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
2428626MEDICARE ID-TYPE UNSPECIFIED (04)
0382MEDICARE ID-TYPE UNSPECIFIED (04)
241019AMEDICARE ID-TYPE UNSPECIFIED (04)
8997869MEDICAID (05)NC
7997761MEDICAID (05)NC
T97074MEDICARE UPIN (02)
U50504MEDICARE UPIN (02)
T95442MEDICARE UPIN (02)
241381MEDICARE ID-TYPE UNSPECIFIED (04)

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1083721906DR. MARK T SHEHAN DDS
Individual
Dentist (Oral and Maxillofacial Surgery)1601 SOUTH HAWTHORNE ROAD
WINSTON SALEM, NC 27103
(336) 765-9550
1932297272DR. MARTEN W QUADLAND DMD
Individual
Dentist (Oral and Maxillofacial Surgery)1601 SOUTH HAWTHORNE ROAD
WINSTON-SALEM, NC 27103
(336) 765-9550

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.