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DR. JERROLD WAYNE SMITH D.D.S.
NPI 1396892030
Dentist - General Practice in Chicago, IL

Active since January 04, 2007
2000 W. 95TH. STREET, CHICAGO, IL 60643(773) 881-3920(773) 881-4058 Get Directions Write a Review

NPPES record last updated: April 12, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Jerrold Wayne Smith D.d.s. NPPES

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

DR. JERROLD WAYNE SMITH D.D.S. (NPI 1396892030) is an individual general practice provider in Chicago, Illinois, licensed in Illinois (019016584) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1396892030
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JERROLD WAYNE SMITHCredential: D.D.S.
Location Address2000 W. 95TH. STREETChicago, IL 60643-1116
Mailing Address2000 W. 95th. StreetChicago, IL 60643-1116 · (773) 881-3910 · Fax (773) 881-4058
Phone(773) 881-3920
Fax(773) 881-4058
Sole ProprietorNo
Enumeration DateJanuary 4, 2007
Last NPPES UpdateApril 12, 2016
✔ NPI 1396892030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in IL · 019016584✔ Licensed in IN · 12010685
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.

2000 W. 95TH. STREET, Chicago, IL 60643
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Other Identifiers 1

Medicaid019016584IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and more.Insurance ›

Frequently Asked Questions

What is Jerrold Smith's NPI number?

The NPI number assigned to this healthcare provider is 1396892030, enumerated as an "individual" on January 04, 2007.

Where is the provider located?

The provider is located at 2000 W. 95TH. STREET CHICAGO, IL 60643 and the phone number is (773) 881-3920.

What is the provider's specialty?

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

What insurance does Jerrold Smith accept?

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Blue Cross and. Please consult your insurance carrier or call the provider to verify.