DR. ELDRIDGE CHARLES SMITH PERIODONTIST DDS
NPI 1811905854
Dentist - Periodontics in San Diego, CA

Active since August 04, 2006
3804 CLAIREMONT DRIVE, SAN DIEGO, CA 92117(858) 272-0070(858) 272-0072 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Dr. Eldridge Charles Smith Periodontist Dds NPPES

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

DR. ELDRIDGE CHARLES SMITH PERIODONTIST DDS (NPI 1811905854) is an individual periodontics provider in San Diego, California, licensed in California (26231) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1811905854
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. ELDRIDGE CHARLES SMITHCredential: PERIODONTIST DDS
Location Address3804 CLAIREMONT DRIVESan Diego, CA 92117-5831
Mailing Address3804 Clairemont DriveSan Diego, CA 92117-5831 · (858) 272-0070 · Fax (858) 272-0072
Fax(858) 272-0072
Sole ProprietorNo
Enumeration DateAugust 4, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1811905854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in CA · 26231
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
3804 CLAIREMONT DRIVE, San Diego, CA 92117

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 Eldridge Smith's NPI number?

The NPI number for Eldridge Smith is 1811905854. It was assigned to this individual provider in the NPPES registry on August 4, 2006.

Where is Eldridge Smith located?

Eldridge Smith practices at 3804 Clairemont Drive, San Diego, CA 92117. The listed phone number is (858) 272-0070.

What is Eldridge Smith's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Eldridge Smith was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.