DR. ALLEN TODD SMITH DDS NPI 1841388188

Oral & Maxillofacial Surgery in Winston Salem, NC

Individual Male Oral & Maxillofacial Surgery PECOS Enrolled Accepts Medicare Years Experience 26

About ALLEN SMITH

Allen Smith is a provider established in Winston Salem, North Carolina and his medical specialization is oral & maxillofacial surgery with more than 26 years of experience. The NPI number of Allen Smith is 1841388188 and was assigned on October 2006. The practitioner's primary taxonomy code is 204E00000X with license number 5848 (NC). The provider is registered as an individual and his NPI record was last updated one year ago. Allen Smith is enrolled in PECOS and is registered with Medicare but might not accept claims assignment.

NPI

1841388188

Provider NameDR. ALLEN TODD SMITH DDS
Provider Location Address1601 SOUTH HAWTHORNE RD WINSTON SALEM, NC 27103
Provider Mailing Address1601 SOUTH HAWTHORNE RD WINSTON SALEM, NC 27103
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year1994
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date10-11-2006
Last Update Date08-01-2019

Primary Taxonomy

Taxonomy Code204E00000X
ClassificationOral & Maxillofacial Surgery
TypeAllopathic & Osteopathic Physicians
License No.5848
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

DR. ALLEN TODD SMITH DDS
1601 SOUTH HAWTHORNE RD
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 765-9550
Fax: (336) 765-9552

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Mailing Address

DR. ALLEN TODD SMITH DDS
1601 SOUTH HAWTHORNE RD
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 765-9550
Fax: (336) 765-9552

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
8997869MEDICAID (05)NC

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.