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Deactivated NPI 1124322961 Deactivated / Inactive NPI Male Practitioner

Dr. Douglas Bradford Smith , DDS

Dentist • La Mesa, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Douglas Smith has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 10, 2011
NPI Deactivation Date May 08, 2025
Total Practice Duration ~14 Years of Practice (2011 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Douglas Smith, DDS was a registered Dentist practicing in La Mesa, CA. Throughout an active medical career spanning 14 years, Dr. Smith provided care at the practice location at 7879 EL CAJON BLVD until profile deactivation on 2025-05-08.

Practice Location & Contact Primary Location

Practice Address

7879 El Cajon Blvd

La Mesa, CA 919420623

Telephone 6194662774
Associated Practice Facility / Clinic
🏢 Bradley Sainsbury Dds Inc Facility NPI 1972214757

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in La Mesa, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
57 Specialists

Practicing in La Mesa, CA (15331 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License CA 53351

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Bradley Sainsbury , DDS, MS

Pain Medicine - Pain Medicine

NPI 1518166313

Doctor of Dental Surgery, Master of Science

NPI 1821344482

Doctor of Dental Surgery

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated May 08, 2025

Record deactivated on May 08, 2025

NPI Profile Active January 10, 2011

NPI status registered as active in NPPES database

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Updated Practice Location January 10, 2011

Registered at 7879 EL CAJON BLVD, LA MESA, CA 919420623 (Tel: 6194662774)

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Updated Business Mailing Address January 10, 2011

Registered at 7879 EL CAJON BLVD, LA MESA, CA 919420623 (Tel: 6194662774)

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Provider Name / Credentials Updated January 10, 2011

Recorded as DOUGLAS SMITH, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 10, 2011

Dentist (License #53351 in CA)

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Initial NPI Registration & Enumeration January 10, 2011

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: 1124322961
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 10, 2011
Last Update: January 10, 2011
Deactivation Date: May 08, 2025

Mailing Address

7879 El Cajon Blvd

La Mesa, CA 919420623

Phone: 6194662774

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.