FREDERIC W SMITH (NPI# 1073770152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073770152 |
| Entity Type | Individual |
| Full Name | FREDERIC W SMITH |
| Credential | MD, DMD |
| Practice Address |
1403 Peterman Dr Alexandria LA 71301-3433 |
| Practice Telephone | 3184437208 |
| Practice Fax Number | 3184430046 |
| Mailing Telephone | 3184437208 |
| Mailing Fax Number | 3184430046 |
| Enumeration Date | 2008-05-17 |
| Last Update Date | 2016-05-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
6461 | LA | Dental Providers |
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
23648 | TX | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407869043 | Frederic Newell Smith | Dentist | 31636 Schoolcraft Rd, Livonia, MI 48150-1819 | 2006-08-14 |
| 1528029287 | Frederic A Smith | Internal Medicine | 7182 Woodrow St Ste 200, Irmo, SC 29063-2832 | 2006-03-31 |
| Street Address |
1403 PETERMAN DR |
| City | ALEXANDRIA |
| State | LA |
| Zip Code | 71301-3433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588641096 | Alexandria Oral Surgery Associates LLP | Oral & Maxillofacial Surgery | 1403 Peterman Dr, Alexandria, LA 71301-3433 | 2005-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689217457 | Geaux Trans Transportation | Non-emergency Medical Transport (VAN) | 3101 Quail Court Apt A, Alexanadria, LA 71301 | 2019-10-23 |
| 1679115497 | Emily Belgard | Case Manager/Care Coordinator | 1715 Ashley Avenue, Suite A, Alexandria, LA 71301 | 2019-10-14 |
| 1316591878 | Leronisha Murphey | Technician | 1300 Jackson Street, Alexandria, LA 71301 | 2019-08-01 |
| 1144782996 | Ashley Billings | Student in an Organized Health Care Education/Training Program | 403 E 3rd Street Ste 3h, Family Medicine, Alexandria, LA 71301 | 2019-04-02 |
| 1740753110 | Maranda Trotti Voorhies | Nurse Practitioner | 501 Medical Center Dr. Suite 200, Alexandria, LA 71301 | 2019-01-08 |
| 1326565359 | Sheryl Ann Truman | Registered Nurse | 3224 Madonna Drive, Alexandria, LA 71301 | 2017-08-30 |
| 1770001620 | Casey Holts | Counselor | 5760 Goodland Trace, Alexandria, LA 71301 | 2017-08-30 |
| 1942735956 | Transforming Lives, Inc. | Community/Behavioral Health | 1428 Peterman Dr Ste A, Alexandria, LA 71301 | 2017-04-27 |
| 1790216703 | Johnnetta Rutledge | Counselor | 39 Kent Ave, Alexandria, LA 71301 | 2017-03-22 |
| 1104367788 | Clarissa Dione Pugh | Counselor | 23 Tennessee Ave, Alexandria, LA 71301 | 2017-03-15 |
| Find all providers in zip 71301 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962866350 | Zachary Jones | Dentist | 4660 Kenmore Ave Ste 204, Alexandria, VA 22304-1306 | 2016-04-11 |
| 1386843373 | David M Morgan | Dentist | 124 S West St Ste 103, Alexandria, VA 22314-2850 | 2007-07-11 |
| 1518961481 | Robert Levy | Dentist | 301 4th St, Alexandria, LA 71301-8423 | 2005-06-09 |
| 1538424619 | David M Morgan, Dds, Md, Plc | Dentist | 124 S West St Ste 103, Alexandria, VA 22314-2800 | 2012-07-05 |
| 1962693051 | Oral Surgery Associates of Northern Virginia, Ltd. | Dentist | 101 S Whiting St, Suite 106, Alexandria, VA 22304-3418 | 2007-08-05 |
| 1770707572 | Alexandria Oral Surgery, PC | Dentist | 4660 Kenmore Ave, Suite 204, Alexandria, VA 22304-1313 | 2007-04-12 |
| 1447328430 | Richard D Fiorucci Dds Ltd | Dentist | 1451 Belle Haven Rd, Alexandria, VA 22307-1201 | 2006-11-30 |
| 1700991171 | Richard Donald Fiorucci | Dentist | 1451 Belle Haven Rd, Alexandria, VA 22307-1201 | 2006-08-19 |
| 1366482796 | Jeffrey Ross Rothman | Dentist | 4660 Kenmore Ave, Suite 204, Alexandria, VA 22304-1313 | 2006-06-07 |
| 1356389852 | Gerald Rothman | Dentist | 4660 Kenmore Ave, Suite # 204, Alexandria, VA 22304-1313 | 2006-06-04 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 71301 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.