DR. STACY G SMITH (NPI# 1871698134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871698134 |
| Entity Type | Individual |
| Full Name | DR. STACY G SMITH |
| Other Name | N/A N/A |
| Credential | DMD |
| Practice Address |
290 Highway 314 Suite A Fayetteville GA 30214-7813 |
| Practice Telephone | 7704606060 |
| Practice Fax Number | 7704610541 |
| Mailing Telephone | 7704606060 |
| Mailing Fax Number | 7704610541 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
11268 | GA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306472428 | Stacy Renee Smith | Specialist/Technologist | 1708 Surrey Ct, Garland, TX 75043-1355 | 2020-03-20 |
| 1508338856 | Stacy Smith | Pediatrics | 5345 Fm 3 S, Marquez, TX 77865-4303 | 2018-12-27 |
| 1245612779 | Stacy G. Smith | Counselor | 24 Godwin Ave Ste 210, Midland Park, NJ 07432-1927 | 2015-06-21 |
| 1730583501 | Stacy Lynn Smith | Pharmacist | 1017 W Haul Rd, Page, AZ 86040-0656 | 2014-10-22 |
| 1881953214 | Stacy J Smith | Occupational Therapist | 10240 E Vicksburg St, Tucson, AZ 85748-3462 | 2012-05-04 |
| 1407139546 | Stacy Marie Smith | Registered Nurse | 1310 E 7th St., Ste J, Auburn, IN 46706 | 2011-09-26 |
| 1306138235 | Stacy Victoria Smith | Psychiatry & Neurology | 17183 Interstate 45 S Ste 690, Shenandoah, TX 77385-3317 | 2011-05-11 |
| 1871898858 | Stacy Smith | Counselor | 100 South Ridge Road, Suite 201 C, Breckenridge, CO 80424 | 2011-01-21 |
| 1740476514 | Stacy Ann Smith | Counselor | 4525 Draper Rd, Raleigh, NC 27616-5674 | 2007-09-14 |
| 1255532495 | Stacy M. Smith | Dietitian, Registered | 261 Parkway Dr Ne, Atlanta, GA 30312-1210 | 2007-05-29 |
| Street Address |
290 HIGHWAY 314 SUITE A |
| City | FAYETTEVILLE |
| State | GA |
| Zip Code | 30214-7813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841269768 | Olistell, Inc. | Home Health | 290 Highway 314, Suite C, Fayetteville, GA 30214-7813 | 2006-03-14 |
| 1154877363 | Krystle Penn | Massage Therapist | 290 Highway 314, Suite B, Fayetteville, GA 30214-7813 | 2016-08-28 |
| 1851740948 | Lakeisha Joseph | Speech-Language Pathologist | 290 Highway 314, Suite B, Fayetteville, GA 30214-7813 | 2016-06-08 |
| 1467808246 | Phedra Fields | Occupational Therapist | 290 Highway 314, Suite B, Fayetteville, GA 30214-7813 | 2016-05-10 |
| 1447623756 | Shamiqua Johnson | Speech-Language Pathologist | 290 Highway 314, Suite B, Fayetteville, GA 30214-7813 | 2015-11-09 |
| 1114205895 | Andrea J Adams | Counselor | 290 Highway 314, Suite D, Fayetteville, GA 30214-7813 | 2011-07-28 |
| 1669750345 | Serenity Counseling & Consulting Services | Counselor | 290 Highway 314, Suite D, Fayetteville, GA 30214-7813 | 2011-07-28 |
| 1558508580 | Ideal Therapy, LLC | Physical Therapist | 290 Highway 314, Suite B, Fayetteville, GA 30214-7813 | 2009-01-13 |
| 1013000900 | Laura Marie Carn Smith | Dentist | 290 Highway 314, Suite A, Fayetteville, GA 30214-7813 | 2006-10-02 |
| 1447341359 | Clarence A Parrott | Dentist | 290 Highway 314, Suite A, Fayetteville, GA 30214-7813 | 2006-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548872468 | Phyllis Kelly Wood | Nurse Practitioner | 217 Banks Rd, Suite 31, Fayetteville, GA 30214 | 2020-08-21 |
| 1073139317 | Tyisha Salter Scott | Counselor | 110 Habersham Drive, Suite 142, Fayetteville, GA 30214 | 2020-06-23 |
| 1194341412 | Camille Franncine Bolton | Physical Therapist | 500 Floy Farr Parkway, Suite 303, Fayetteville, GA 30214 | 2020-06-23 |
| 1205465895 | Gillian Vaughan Heard | Physician Assistant | 1275 Ga-54 #201, Fayetteville, GA 30214 | 2020-04-06 |
| 1881234557 | Peach Fits,inc | Mastectomy Fitter | 285 Glynn Street South, Suites 102 and 104, Fayetteville, GA 30214 | 2020-01-10 |
| 1255981072 | Delta Healthcare Providers | Clinic/Center | 1275 W Lanier Ave, #200, Fayetteville, GA 30214 | 2019-09-13 |
| 1861965592 | Hierarchy for Wellness | Specialist | 805 S Glynn St Bldg 127 142, Fayetteville, GA 30214 | 2019-01-04 |
| 1356810634 | Fayette Dental Group PC | Clinic/Center | 720 W Lanier Ave, Fayetteville, GA 30214 | 2018-11-16 |
| 1891263299 | Mattie Mae Farmer Clark | Specialist/Technologist, Other | Piedmont Fayette Hospital, 1255 Highway 54 West, Fayetteville, GA 30214 | 2018-11-05 |
| 1093293607 | Allyson Holland | Pharmacist | 880 Highway 85 South, Fayetteville, GA 30214 | 2018-08-06 |
| Find all providers in zip 30214 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346898335 | Chaitanya Joopally Dds Pllc | Dentist | 2050 Skibo Rd. Ste 104, Fayetteville, NC 28314 | 2019-09-03 |
| 1972151439 | Ikenna K Okons | Dentist | 4200 Morganton Rd Ste 304, Fayetteville, NC 28314-1564 | 2019-08-28 |
| 1114488079 | Bianca Kristina Adams | Dentist | 207 Forest Creek Dr, Fayetteville, NC 28303-5496 | 2019-03-25 |
| 1194226506 | Michael E. Carter, Dds, Pllc | Dentist | 1874 N Hunters Rdg Ste 1, Fayetteville, AR 72701-2896 | 2018-02-22 |
| 1760900153 | Elali Alisha Marie Moukwa | Dentist | 1916 Skibo Rd Ste C3, Fayetteville, NC 28314 | 2017-09-06 |
| 1548781107 | Christopher Heard | Dentist | 265 N Jeff Davis Dr Ste 1a, Fayetteville, GA 30214-1668 | 2017-07-03 |
| 1881123305 | Kenneth Boyd Lewis Jr. | Dentist | 4140 Ramsey St Ste 104, Fayetteville, NC 28311-7658 | 2017-06-08 |
| 1518496215 | Van Michael Mcqueen Jr. | Dentist | 640 N Garland Ave # 104, Fayetteville, AR 72701 | 2017-06-06 |
| 1710415229 | Alan Kuo | Dentist | 1400 Walter Reed Rd Ste 200, Fayetteville, NC 28304 | 2017-05-28 |
| 1508304866 | Karan G Mirchandani | Dentist | 4251 Ramsey St Ste 8, Fayetteville, NC 28311-2130 | 2017-02-07 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 30214 |
Please comment or provide details below to improve the information on DR. STACY G 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.