DR. GERALD A SMITH (NPI# 1962678425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962678425 |
| Entity Type | Individual |
| Full Name | DR. GERALD A SMITH |
| Other Name | DR. JERRY A SMITH |
| Practice Address |
3755 Sixes Rd Suite 200 Canton GA 30114-7842 |
| Practice Telephone | 7707047157 |
| Mailing Telephone | 7707047157 |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2008-05-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
DN010244 | GA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689004913 | Gerald Jerome Smith | Dentist | 5306 Wheeler Road, Oxon Hill, MD 20745 | 2013-11-22 |
| 1578608865 | Gerald Wayne Smith | Chiropractor | 104 E Vaughn Ave, Ruston, LA 71270-5953 | 2007-02-21 |
| 1922018662 | Gerald W Smith | Dentist | 8680 W Main St Ste 4e, Frisco, TX 75034-3096 | 2006-08-08 |
| 1740794767 | Gerald Smith | Counselor | 1020 N 3rd St, Monroe, LA 71201-5246 | 2017-11-29 |
| 1073918975 | Gerald P. Smith Jr. | Counselor | 20400 Col Glenn Rd, Little Rock, AR 72210-5323 | 2014-11-04 |
| 1083907356 | Gerald Lee Smith Jr. | Pharmacist | 410 Fairfax Pike, Stephens City, VA 22655-2969 | 2011-05-19 |
| 1053619551 | Gerald L Smith | Social Worker | 1255 Brice Blvd, Bartow, FL 33830-6735 | 2011-03-08 |
| 1730311614 | Gerald E Smith | Counselor | 2551 Coors Blvd Nw, Albuquerque, NM 87120-1213 | 2009-08-11 |
| 1912184284 | Gerald Michael Smith | Emergency Medicine | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2008-01-29 |
| 1851575393 | Gerald Lee Smith | Specialist | 45 Pine Street, 1st Medical Group, Langley Afb, VA 23665-2080 | 2007-12-19 |
| Street Address |
3755 SIXES RD SUITE 200 |
| City | CANTON |
| State | GA |
| Zip Code | 30114-7842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639100480 | Jeffrey Allen Donohue | Family Medicine | 3755 Sixes Rd, Suite 202, Canton, GA 30114-7842 | 2006-07-06 |
| 1104230366 | Nathan Michael Kaller | Family Medicine | 3755 Sixes Rd, Suite 202, Canton, GA 30114-7842 | 2014-06-16 |
| 1346593316 | Wellstar Medical Group, LLC | Family Medicine | 3755 Sixes Rd, Suite 202, Canton, GA 30114-7842 | 2012-10-16 |
| 1912138264 | Marie Hagood Mulkey | Nurse Practitioner | 3755 Sixes Rd, Suite 202, Canton, GA 30114-7842 | 2009-08-04 |
| 1841471273 | Bridgemill Family Medical Associates, PC | Family Medicine | 3755 Sixes Rd, Suite 202, Canton, GA 30114-7842 | 2007-11-14 |
| 1871666404 | Christina Daniels Tyler | Family Medicine | 3755 Sixes Rd, Suite 100, Canton, GA 30114 | 2006-11-15 |
| 1134216898 | Scott Vidar Merritt | Dentist | 3755 Sixes Rd, Ste 100, Canton, GA 30114-7842 | 2006-10-06 |
| 1336156165 | William E Porter | Family Medicine | 3755 Sixes Rd, Suite 202, Canton, GA 30114-7842 | 2006-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619516093 | Wickshire Canton Opco LLC | Assisted Living Facility | 125 Riverstone Terrace, Canton, GA 30114 | 2020-01-02 |
| 1154803583 | Alixandra Nicole Flournoy | Physical Therapist | 131 Holly Street, Canton, GA 30114 | 2018-09-01 |
| 1588157341 | Provident Group - Canton Cove Properties LLC | Alzheimer Center (Dementia Center) | 1100 Reinhardt College Parkway, Canton, GA 30114 | 2018-06-07 |
| 1003233107 | Heartland Dental Care of Georgia | Dentist | 3237 Sixes Rd, Canton, GA 30114 | 2014-03-26 |
| 1730510959 | Joseph Optical | Eyewear Supplier (Equipment, not the service) | 1455 Riverstone Pkwy Suite 110, Canton, GA 30114 | 2013-12-13 |
| 1629313036 | Ramona Morton Rasmussen | Occupational Therapist | 200 Riverstone Drive, Suite B, Canton, GA 30114 | 2012-12-11 |
| 1902154875 | Yong Qiao Luo | Acupuncturist | 200 Oakside Lane, Suite D, Canton, GA 30114 | 2012-08-26 |
| 1215294350 | Christina Lynn Hernandez | Pediatrics | 1558 Riverstone Pkwy Ste 100, Canton, GA 30114 | 2012-04-13 |
| 1558638981 | Stephen E Byrd | Counselor | 191 Lamar Haley Pkwy., Canton, GA 30114 | 2011-11-30 |
| 1073807855 | Sheri Sullins Buckley | Nurse Practitioner | 120 Oakside Ct Ste H, Canton, GA 30114 | 2011-06-08 |
| Find all providers in zip 30114 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407474588 | Owais Naeem | Dentist | 44633 Joy Rd Ste 300, Canton, MI 48187-1733 | 2020-07-06 |
| 1528595089 | Ritu Kular Singh | Dentist | 4227 S Canton Center Rd, Canton, MI 48188-2448 | 2017-05-16 |
| 1508318304 | Susan Sandstrom Guest | Dentist | 42287 Cherry Hill Rd Ste A, Canton, MI 48188-1976 | 2016-10-27 |
| 1013225077 | Sarah Elisabeth Wentzel | Dentist | 6592 Marshall St, Canton, MI 48187-1661 | 2010-09-23 |
| 1942452842 | Kylie Lane Lewis | Dentist | 3395 Sixes Rd Ste 140, Canton, GA 30114 | 2008-10-22 |
| 1043489610 | Marissa Mikolich | Dentist | 4100 Belden Village Mall, Canton, OH 44718-2502 | 2008-02-27 |
| 1891971081 | Ross William Anderson | Dentist | 8510 N Canton Center Rd, Canton, MI 48187-1310 | 2008-01-17 |
| 1407919129 | Frank F Omerza | Dentist | 4122 Whipple Ave Northwest, Canton, OH 44718 | 2006-12-18 |
| 1689755621 | Aaron Lundner | Dentist | 1957 West Tuscarawas, American Dental Centers, Canton, OH 44708 | 2006-10-18 |
| 1740394550 | Drs. Rossetti & Fanno, Inc. | Dentist | 4811 Munson St Nw, Canton, OH 44718-3614 | 2006-08-18 |
| Find all providers in CANTON | ||||
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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.