Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1285728998 Individual Practitioner Male Practitioner

Dr. Gregory T Smith , DDS

Dentist - Periodontics • Phoenix, AZ

Professional Overview & Biography Verified Profile Summary

Dr. Gregory Smith, DDS is a registered healthcare professional specializing in Dentist - Periodontics in Phoenix, AZ. Practice services are available at 4212 N. 16TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4212 N. 16th St
Phoenix Indian Medical Center

Phoenix, AZ 85016

Telephone 6022631511
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Periodontics in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
23 Specialists

Practicing in Phoenix, AZ (127 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

Dentist - Periodontics Primary Specialty

NUCC Taxonomy Code: 1223P0300X

State License AZ D2500

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
418683 (AZ)
Commercial Insurance / Payer ID Bcbs
AZ0471540 (AZ)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Ancita Bigman , RN

Registered Nurse

NPI 1003965211

Registered Nurse

Bernadine Jones , RN

Registered Nurse - Medical-Surgical

NPI 1003970435

Registered Nurse

Myrna Sloan

Licensed Practical Nurse

NPI 1003978255
Charlotte Graham , RN

Registered Nurse - Women's Health Care, Ambulatory

NPI 1003984485

Registered Nurse

Dr. Wayne Cottam , DMD

Dentist - Dental Public Health

NPI 1003988064

Doctor of Dental Medicine

Jill Kail , CRT, NPS, RCP

Respiratory Therapist, Certified

NPI 1003996927

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 4212 N. 16TH ST, PHOENIX INDIAN MEDICAL CENTER, PHOENIX, AZ 85016 (Tel: 6022631511)

📍
Updated Business Mailing Address July 08, 2007

Registered at P.O. BOX 31001-0698, PASADENA, CA 911100698 (Tel: 6022631511)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as GREGORY SMITH, D.D.S.

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

Dentist (License #D2500 in AZ)

🟢
Initial NPI Registration & Enumeration October 03, 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: 1285728998
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 03, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

P.o. Box 31001-0698

Pasadena, CA 911100698

Phone: 6022631511

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.