JOHN CLINTON SMITH (NPI# 1760576961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760576961 |
| Entity Type | Individual |
| Full Name | JOHN CLINTON SMITH |
| Credential | DDS |
| Practice Address |
7950 Main St Suite 205 Maple Grove MN 55369 |
| Practice Telephone | 7635612273 |
| Practice Fax Number | 7635615761 |
| Mailing Telephone | 7635612273 |
| Mailing Fax Number | 7635615761 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 9322 | MN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386035 | John Colin Smith | Physical Therapy Assistant | 416 N Main St Ste I, Cave City, AR 72521-9008 | 2020-11-03 |
| 1104392034 | John Seth Smith | Behavioral Analyst | 1002 S Vienna St, Ruston, LA 71270-5832 | 2018-10-18 |
| 1316454283 | John Smith | Driver | 339 E Glenwood Ave, Akron, OH 44310-3850 | 2018-01-02 |
| 1093230252 | John Jesus Smith | Rehabilitation Practitioner | 867 Fair Oaks Ave, Pasadena, CA 91103 | 2017-08-09 |
| 1952837536 | John Kenny Smith | Counselor | 140d Larkspur Ln, Galax, VA 24333-2305 | 2017-05-03 |
| 1114464435 | John Smith Jr. | Counselor | 390 E Boundary Dr, Spartanburg, SC 29303-3926 | 2017-01-24 |
| 1982152930 | John Smith | Physical Therapist | 412 W Central Ave, Fitzgerald, GA 31750-2442 | 2016-09-20 |
| 1588028518 | John Smith | Counselor | 8888 Finley Rd, Wooster, OH 44691-7563 | 2016-04-06 |
| 1235520602 | John Joseph Smith | Counselor | 17400 Northwood Ave, Lakewood, OH 44107-2210 | 2015-02-06 |
| 1235545526 | John Charles Smith | Pharmacist | 2666 Riva Rd Ste 110, Annapolis, MD 21401-7351 | 2014-07-08 |
| Street Address |
7950 MAIN ST SUITE 205 |
| City | MAPLE GROVE |
| State | MN |
| Zip Code | 55369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558433920 | Eric Wang | Dentist | 7950 Main St, Suite 205, Maple Grove, MN 55369 | 2006-11-14 |
| 1497827869 | Brook West Family Dentistry Pa | Dentist | 7950 Main St, #205, Maple Grove, MN 55369 | 2006-11-14 |
| 1255414504 | Jessica A Drapcho | Dentist | 7950 Main St, Suite 205, Maple Grove, MN 55369 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144188 | Bonnie Rose Theis | Counselor | 24 3rd Ave Ne, Unit B, Osseo, MN 55369 | 2020-11-06 |
| 1356976328 | Kirollos Samir Hanna | Pharmacist | 14500 99th Ave N, Suite 0a030, Maple Grove, MN 55369 | 2020-03-10 |
| 1396395463 | Susan Osborne | Technician | 9240 Orchid Lane, Maple Grove, MN 55369 | 2019-09-19 |
| 1710537196 | Janis Langsdale | Technician | 11070 108 Avenue North, Maple Grove, MN 55369 | 2019-09-17 |
| 1043724552 | Tracey Wahlquist | Speech-Language Pathologist | 11100 86th Ave N, Maple Grove, MN 55369 | 2017-11-20 |
| 1154860005 | Kayla Uptagrafft | Specialist/Technologist | 9555 Upland Lane Norh, Maple Grove, MN 55369 | 2017-02-13 |
| 1750823324 | Jennifer Ranallo | Social Worker | 9600 Upland Ln N Ste 110, Maple Grove, MN 55369 | 2016-11-13 |
| 1558723999 | Debra Grace Boersma | Advanced Practice Midwife | 9825 Hospital Dr#205, Maple Grove, MN 55369 | 2016-03-24 |
| 1396129433 | Maple Grove Smiles Dentistry, PC | Dentist | 12775 Elm Creek Blvd N, Maple Grove, MN 55369 | 2015-07-18 |
| 1558755900 | Krista Newman | Counselor | 24 3rd St Nw, Unit B, Osseo, MN 55369 | 2015-03-24 |
| Find all providers in zip 55369 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528624566 | Jason Chan Yick | Dentist | 9630 Grove Cir N Ste 102, Maple Grove, MN 55369-3480 | 2019-05-15 |
| 1124509427 | Jonathan Gee Hin Wong | Dentist | 7200 Hemlock Ln N Ste 105, Maple Grove, MN 55369-5587 | 2018-08-24 |
| 1750556627 | Fu Wong Dds Pa | Dentist | 7200 Hemlock Lane N Fu Wong Dds Pa, Suite 105, Maple Grove, MN 55369 | 2008-04-23 |
| 1912053422 | Lawrence Joseph Kotok | Dentist | 16342 County Rd 30, Maple Grove, MN 55311 | 2007-01-26 |
| 1376618579 | Richard Keith Weimar | Dentist | 11256 86th Ave. No., Maple Grove, MN 55369 | 2006-11-22 |
| 1659305639 | John Harold Yaeger | Dentist | 7490 E Fish Lake Rd, Maple Grove, MN 55311-2736 | 2006-07-10 |
| 1003874462 | Richard William Topel | Dentist | 12736 Bass Lake Rd, Maple Grove, MN 55369-6307 | 2006-05-03 |
| 1801885991 | Fu Wong | Dentist | 7200 Hemlock Ln N, Suite 105, Maple Grove, MN 55369-5576 | 2005-10-20 |
| 1457349599 | Douglas George Shamp | Dentist | 7270 Forestview Ln N, #250, Maple Grove, MN 55369-5546 | 2005-10-12 |
| 1629538988 | Miso Dentistry, PC | Dentist | 6240 Quinwood Ln N # 100, Maple Grove, MN 55369-6384 | 2019-03-22 |
| Find all providers in MAPLE GROVE | ||||
| City | MAPLE GROVE |
| Zip Code | 55369 |
Please comment or provide details below to improve the information on JOHN CLINTON SMITH.
| 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.