DR. PAUL ANDREW SMITH DMD
NPI 1639221708
Dentist - General Practice in Stockbridge, GA

Active since January 17, 2007Opted out of Medicare · through Dec 16, 2027
909 EAGLES LANDING PKWY, SUITE420, STOCKBRIDGE, GA 30281(770) 507-8010(770) 507-4052 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Paul Andrew Smith Dmd NPPES

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

DR. PAUL ANDREW SMITH DMD (NPI 1639221708) is an individual general practice provider in Stockbridge, Georgia, licensed in Georgia (10934) and active in the NPI registry since January 2007. He has opted out of Medicare through December 16, 2027.

NPPES Registry Identity

NPI1639221708
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. PAUL ANDREW SMITHCredential: DMD
Location Address909 EAGLES LANDING PKWY, SUITE420Stockbridge, GA 30281-7247
Mailing Address909 Eagles Landing Pkwy, Suite420Stockbridge, GA 30281-7247 · (770) 507-8010 · Fax (770) 507-4052
Fax(770) 507-4052
Sole ProprietorYes
Enumeration DateJanuary 17, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1639221708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in GA · 10934
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.

909 EAGLES LANDING PKWY, Stockbridge, GA 30281

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Paul Andrew Smith Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 16, 2015 through December 16, 2027.

Opt-Out Effective DateDecember 16, 2015
Opt-Out In Effect ThroughDecember 16, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 10

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

Community/Behavioral Health
909 EAGLES LANDING PKWY, SUITE 400 - #136
STOCKBRIDGE, GA 30281
Community/Behavioral Health
909 EAGLES LANDING PKWY, SUITE 400 - #136
STOCKBRIDGE, GA 30281
Community/Behavioral Health
909 EAGLES LANDING PKWY, SUITE 400 - #136
STOCKBRIDGE, GA 30281
Pharmacist
909 EAGLES LANDING PKWY
STOCKBRIDGE, GA 30281
Pharmacist
909 EAGLES LANDING PKWY
STOCKBRIDGE, GA 30281
Physical Therapist
909 EAGLES LANDING PKWY
STOCKBRIDGE, GA 30281
Pharmacist
909 EAGLES LANDING PKWY
STOCKBRIDGE, GA 30281
Technician, Pathology (Phlebotomy)
909 EAGLES LANDING PKWY, STE 440 PMB #1121
STOCKBRIDGE, GA 30281

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 Paul Smith's NPI number?

The NPI number for Paul Smith is 1639221708. It was assigned to this individual provider in the NPPES registry on January 17, 2007.

Where is Paul Smith located?

Paul Smith practices at 909 Eagles Landing Pkwy Suite420, Stockbridge, GA 30281. The listed phone number is (770) 507-8010.

What is Paul Smith's specialty?

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

Is Paul Smith enrolled in Medicare?

No. Paul Smith has opted out of Medicare through December 16, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Paul Smith was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.