Dennis Rayvon Smith is a Dentist in Gordon, Georgia. Dennis Rayvon Smith practices all healthcare services and medical treatments related to Dentist. The NPI Number for Dennis Rayvon Smith is 1124173356. The last update date is 2007-07-08.
Dennis Rayvon Smith's current location address is Po Box 326, Gordon, Georgia. You can contact this provider via phone number 4786282142 and fax number 4786281400. The mailing address for Dennis Rayvon Smith is Po Box 326, Gordon, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dennis Rayvon Smith |
|---|---|
| Address | Po Box 326, Gordon, Georgia |
| Phone Number | 4786282142 |
| Fax Number | 4786281400 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1124173356 |
|---|---|
| Provider Enumeration Date | 2007-01-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 326 |
|---|---|
| City | Gordon |
| State | Georgia (GA) |
| Post Code | 310310326 |
| Phone Number | 4786282142 |
| Fax Number | 4786281400 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 10175 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100138 | GA | AVESIS | |
| 000018378C | GA | -- | |
| 108516 | GA | DORAL - WELLCARE | |
| 582423363 | GA | TAX ID # |
Post Comment/ Review Below
What is the unique identifier code issued to Dennis Rayvon Smith by the Centers for Medicare & Medicaid Services?
The Dennis Rayvon Smith has been assigned the NPI (National Provider Identifier) 1124173356. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Dennis Rayvon Smith is physically located?
The Dennis Rayvon Smith is situated at the following address: Po Box 326, Gordon, GA 310310326.
What is Dennis Rayvon Smith's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Dennis Rayvon Smith's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1124173356 to Dennis Rayvon Smith?
The Centers for Medicare & Medicaid Services originally issued the 1124173356 to Dennis Rayvon Smith on 2007-01-25.
As of what date were the details related to Dennis Rayvon Smith most recently updated or revised?
The information pertaining to Dennis Rayvon Smith, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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