John Michael Smith in Middleburg Heights - Pediatric Dentistry

John Michael Smith - NPI 1497758122

John Michael Smith is a Pediatric Dentistry in Middleburg Heights, Ohio. John Michael Smith practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for John Michael Smith is 1497758122. The last update date is 2007-07-08.

John Michael Smith's current location address is 15380 Bagley Rd, Middleburg Heights, Ohio. You can contact this provider via phone number 4408886300 and fax number 4408886329. The mailing address for John Michael Smith is 15380 Bagley Rd, Middleburg Heights, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name John Michael Smith
Address 15380 Bagley Rd, Middleburg Heights, Ohio
Phone Number 4408886300
Fax Number 4408886329
Sole Proprietor X
Credentials D.D.S.

NPI Number Detail

NPI Number 1497758122
Provider Enumeration Date 2005-05-27
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 15380 Bagley Rd
City Middleburg Heights
State Ohio (OH)
Post Code 4413048240
Phone Number 4408886300
Fax Number 4408886329

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No 17587
Definition:
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
596029 OH --
483091 UNITED CONCORDIA INSURANC

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FAQs about John Michael Smith

What is the unique identifier code issued to John Michael Smith by the Centers for Medicare & Medicaid Services (CMS)?

The John Michael Smith has been assigned the NPI (National Provider Identifier) 1497758122. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where John Michael Smith is physically located?

The John Michael Smith is physically situated at the following address: 15380 Bagley Rd, Middleburg Heights, OH, 4413048240.

What is John Michael Smith's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for John Michael Smith is Pediatric Dentistry, and the taxonomy code that categorizes this field of expertise is 1223P0221X.

On what date did the John Michael Smith receive its 1497758122 assignment from the Centers for Medicare & Medicaid Services?

The John Michael Smith was assigned its 1497758122 by the Centers for Medicare & Medicaid Services on 2005-05-27.

When was the John Michael Smith's information last updated?

The John Michael Smith's information was last updated on 2007-07-08.

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