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SCOTT R. SMITH DDS.,PC
NPI 1609011311
Dentist - General Practice in Adrian, MI

Active since December 09, 2008
770 RIVERSIDE AVE, SUITE #201, ADRIAN, MI 49221(517) 265-5577(517) 265-8068 Get Directions Write a Review

NPPES record last updated: June 17, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Scott R. Smith Dds.,pc NPPES

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

SCOTT R. SMITH DDS.,PC (NPI 1609011311) is a healthcare organization registered as a general practice in Adrian, Michigan and active in the NPI registry since December 2008. The organization lists Scott Raymond Smith, President, as its authorized official.

NPPES Registry Identity

NPI1609011311
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSCOTT R. SMITH DDS.,PC
Location Address770 RIVERSIDE AVE, SUITE #201Adrian, MI 49221-1476
Mailing Address770 Riverside Ave, Suite #201Adrian, MI 49221-1476 · (517) 265-5577 · Fax (517) 265-8068
Phone(517) 265-5577
Fax(517) 265-8068
Organization SubpartNo
Authorized OfficialScott Raymond SmithPresident · (517) 265-5577
Enumeration DateDecember 9, 2008
Last NPPES UpdateJune 17, 2024
NPPES CertifiedJune 17, 2024
✔ NPI 1609011311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed · 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
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Scott R. Smith Dds.,pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Scott R. Smith DDS.,pc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Scott Smith, D.D.S.
Oral Surgery
NPI 1154324002
770 RIVERSIDE AVE STE 201
Adrian, MI 49221
(517) 265-5577
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 R. Smith Dds.,pc's NPI number?

The NPI number for Scott R. Smith Dds.,pc is 1609011311. It was assigned to this organization in the NPPES registry on December 9, 2008.

Where is Scott R. Smith Dds.,pc located?

Scott R. Smith Dds.,pc is located at 770 Riverside Ave Suite #201, Adrian, MI 49221. The listed phone number is (517) 265-5577.

What is Scott R. Smith Dds.,pc's specialty?

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

Is Scott R. Smith Dds.,pc enrolled in Medicare?

Yes. Scott R. Smith Dds.,pc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Scott R. Smith Dds.,pc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Oral Surgery) reassigns their Medicare billing to Scott R. Smith Dds.,pc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Scott R. Smith Dds.,pc was last updated on June 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.