Justin R. Smith, D.M.D.

Dentist · Panama City, FL

Individual Active NPI

NPI number 1497061634

Practice location

2407 Saint Andrews Blvd Ste a
Panama City, FL 32405-2170
Phone
(850) 763-5021

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NPI record

NPI
1497061634
Entity type
Individual (Type 1)
Enumeration date
August 25, 2010
Last updated
September 29, 2022
Certified
September 29, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X DN19194 FL
Dentist 122300000X D0005975-C1 AL
General Practice Dentistry 1223G0001X DN 19194 FL
General Practice Dentistry 1223G0001X DN19194 FL

Mailing address

2407 Saint Andrews Blvd
Panama City, FL 32405-2170
Phone
(850) 763-5021

About Dr. Smith

Justin R. Smith, D.M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 2407 Saint Andrews Blvd Ste a, Panama City, FL 32405-2170. The NPI number 1497061634 was assigned on August 25, 2010 and the record was last updated on September 29, 2022.

Dr. Smith lists 4 licenses in the registry: #DN19194 (FL) for Dentist; #D0005975-C1 (AL) for Dentist; #DN 19194 (FL) for General Practice Dentistry; #DN19194 (FL) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Justin R. Smith, D.M.D.?

The NPI number is 1497061634.

What is the phone number of Dr. Smith?

The phone number listed for the practice location is (850) 763-5021.

Where is Dr. Smith located?

2407 Saint Andrews Blvd Ste a, Panama City, FL 32405-2170.

What is the taxonomy code for Dr. Smith?

The primary taxonomy code is 122300000X – Dentist; 3 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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