Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1912075979 Individual Practitioner Male Practitioner

Dr. Nathan Wadsworth Smith , DMD

Dentist - General Practice • Mesa, AZ

Professional Overview & Biography Verified Profile Summary

Dr. Nathan Smith, DMD is a registered healthcare professional specializing in Dentist - General Practice in Mesa, AZ. Practice services are available at 2058 S DOBSON RD STE 12 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2058 S Dobson Rd Ste 12

Mesa, AZ 852026455

Telephone 4808383033
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Mesa, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.4 Yrs
Regional Practice Density
228 Specialists

Practicing in Mesa, AZ (2600 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-06-23
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License AZ 6408

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID United Concordia
1902610 (AZ)

Secondary Practice Locations

2919 S Ellsworth Rd, Suite #118

Mesa, AZ 852122164

Phone: 4802191384

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location June 23, 2021

Registered at 2058 S DOBSON RD STE 12, MESA, AZ 852026455 (Tel: 4808383033)

📍
Updated Business Mailing Address June 23, 2021

Registered at 1669 E INDIGO ST, GILBERT, AZ 852983218 (Tel: 4802542763)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2919 S ELLSWORTH RD, SUITE #118, MESA, AZ 852122164 (Tel: 4802191384)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2919 S ELLSWORTH RD, SUITE #118, MESA, AZ 852122164 (Tel: 4802191384)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as NATHAN SMITH, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #6408 in AZ)

🟢
Initial NPI Registration & Enumeration November 30, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1912075979
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 30, 2006
Last Update: June 23, 2021
Sole Proprietor: Yes

Mailing Address

1669 E Indigo St

Gilbert, AZ 852983218

Phone: 4802542763

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.