DOUG SMITH DDS ORTHODONTICS LLC (NPI# 1174898340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174898340 |
| Entity Type | Organization |
| Organization Name | DOUG SMITH DDS ORTHODONTICS LLC |
| Other Organization Name | SAVANNAH DENTAL SPECIALTIES |
| Practice Address |
5102 Paulsen St Bldg 7 Savannah GA 31405-4624 |
| Mailing Address |
5102 Paulsen St Building 7 Savannah GA 31405-4601 |
| Practice Telephone | 9126558855 |
| Practice Fax Number | 9123353416 |
| Mailing Telephone | 9126558855 |
| Mailing Fax Number | 9123353416 |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2019-01-02 |
| Authorized Official Name | DR. DOUGLAS EDWARD SMITH (CO-OWNER) |
| Authorized Official Telephone | 9126558855 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers | ||
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
GADN008086 | GA | Dental Providers |
| N | 125J00000X | Dental Therapist | Dental Providers | ||
| N | 125K00000X | Advanced Practice Dental Therapist | Dental Providers | ||
| N | 174N00000X | Lactation Consultant, Non-RN | Other Service Providers | ||
| N | 2084S0012X |
Psychiatry & Neurology Specialization: Sleep Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | DN008086 | GA | Suppliers |
| Y | 173F00000X | Sleep Specialist, PhD | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Savannah Dental Specialties | Doing Business As Name - Organization |
| Street Address |
5102 PAULSEN ST BLDG 7 |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31405-4624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184669301 | Savannah Nephrology,pc | Specialist | 5102 Paulsen St Bldg 7, Savannah, GA 31405-4624 | 2006-06-19 |
| 1982161436 | Nested, LLC | Counselor | 5102 Paulsen St Bldg 7, Savannah, GA 31405-4624 | 2019-02-20 |
| 1841755683 | Jessica S Koski | Lactation Consultant, Non-RN | 5102 Paulsen St Bldg 7, Savannah, GA 31405-4624 | 2019-02-06 |
| 1982177960 | Savannah Sleep Consultants LLC | Specialist/Technologist, Other | 5102 Paulsen St Bldg 7, Savannah, GA 31405-4624 | 2019-01-02 |
| 1922570688 | Christy Lynn Rouse | Massage Therapist | 5102 Paulsen St Bldg 7, Savannah, GA 31405-4624 | 2018-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053918441 | Nicole Marie Tetro | Anesthesiology | Candler Hospital, 5353 Reynolds St, Savannah, GA 31405 | 2020-10-08 |
| 1154983880 | Nickes Medical Supply, LLC. | Durable Medical Equipment & Medical Supplies | 6020 Halsey St, Savannah, GA 31405 | 2019-07-02 |
| 1215593025 | Lee Ann Ryle | Nurse Practitioner | 5223 Paulsen St., Savannah, GA 31405 | 2019-05-16 |
| 1942765334 | Raegan Epps | Behavior Technician | 613 Stephenson Ave Ste 205, Savannah, GA 31405 | 2019-02-10 |
| 1679050454 | Phenomenal Nursing Service | Registered Nurse | 604 South St., 604 South St, Savannah, GA 31405 | 2018-07-24 |
| 1275029472 | Chelsea Amanda Keedy | Pharmacist | 836 E. 65th St., Medical Arts #4, Savannah, GA 31405 | 2018-07-11 |
| 1265933840 | Dwc-p LLC | Dentist | 5209 Paulsen Street, Savannah, GA 31405 | 2018-02-28 |
| 1386153005 | Aaron Shaw | Hearing Instrument Specialist | 5501 Abercorn St Ste E, Savannah, GA 31405 | 2017-09-26 |
| 1063946028 | Elizabeth Bentley Bruhn-danello | Dietitian, Registered | 836 East 65th Street, Medical Arts #4, Savannah, GA 31405 | 2017-04-17 |
| 1396278230 | Theresa Lynn George | Health Educator | 836 East 65 Th Street, Medical Arts #4, Savannah, GA 31405 | 2017-04-07 |
| Find all providers in zip 31405 | ||||
| Taxonomy Code | 173F00000X |
| Grouping | Other Service Providers |
| Classification | Sleep Specialist, PhD |
| Sleep medicine is a clinical specialty with a focus on clinical problems that require accurate diagnosis and treatment. The knowledge base of sleep medicine is derived from many disciplines including neuroanatomy, neurophysiology, respiratory physiology, pharmacology, psychology, psychiatry, neurology, general internal medicine, pulmonary medicine, and pediatrics as well as others. |
| Notes: Source: National Uniform Claim Committee (based on American Board of Sleep Medicine), 2007 [1/1/2008: new] Additional resources: www.absm.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093894685 | Costrini Sleep Services | Sleep Specialist, PhD | 11909 Mcauley Dr Unit A1, Savannah, GA 31419-1794 | 2006-11-03 |
| 1881924355 | Southeast Lung & Critical Care Specialists | Sleep Specialist, PhD | 4700 Waters Ave, Savannah, GA 31404-6220 | 2010-01-06 |
| 1730418062 | Southeast Lung & Critical Care Specialists | Sleep Specialist, PhD | 225 Candler Dr, Ste. 301, Savannah, GA 31405-6023 | 2009-12-16 |
| 1376793265 | Southeast Lung & Critical Care Specialists | Sleep Specialist, PhD | 340 Eisenhower Dr, Bldg. 1500, Savannah, GA 31406-1600 | 2008-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831465400 | Specialized Sleep Diagnostic | Sleep Specialist, PhD | 29 Peachtree Cir Ne, Atlanta, GA 30309-3518 | 2012-03-28 |
| 1962788505 | The Shed, LLC | Sleep Specialist, PhD | 305 Arizona Ave Ne, Atlanta, GA 30307-2207 | 2011-10-27 |
| 1043521859 | Southest Lung & Critical Care Specialists | Sleep Specialist, PhD | 1821b Old Ocilla Road, Tifton, GA 31794 | 2010-06-25 |
| 1932438850 | Southeast Lung & Critical Care Specialists | Sleep Specialist, PhD | 16741 Fair Rd, Professional Park, G, Statesboro, GA 30458 | 2009-12-24 |
| 1861400319 | D Alan Lankford | Sleep Specialist, PhD | 5505 Peachtree Dunwoody Road, Suite 380, Atlanta, GA 30342 | 2006-08-03 |
| 1750663035 | Quality Sleep Services | Sleep Specialist, PhD | 829 Plaza Ave, Eastman, GA 31023-6757 | 2011-09-13 |
| 1871823187 | Southeast Lung & Critical Care Specialists | Sleep Specialist, PhD | 131 Memorial Dr, Reidsville, GA 30453-4641 | 2010-01-08 |
| 1790015253 | Southeast Lung & Critical Care Specialists | Sleep Specialist, PhD | 200 Doctors Dr, Ste. 112, Douglas, GA 31533-2201 | 2010-01-06 |
| 1053640367 | Southeast Lung & Critical Care Specialists | Sleep Specialist, PhD | 163 E Tollison St, Baxley, GA 31513-0120 | 2009-12-15 |
| 1699004903 | Southeast Lung & Critical Care Specialists | Sleep Specialist, PhD | 16915 Highway 67, Suite A, Statesboro, GA 30458-5819 | 2009-12-15 |
| Find all providers with the same taxonomy | ||||
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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.