Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1619973401 Individual Practitioner Male Practitioner

Dr. Gregory Grant Smith , DDS

Dentist - General Practice • Council, ID

Professional Overview & Biography Verified Profile Summary

Dr. Gregory Smith, DDS is a registered healthcare professional specializing in Dentist - General Practice in Council, ID. Practice services are available at 205 N BERKLEY ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

205 N Berkley St

Council, ID 836125015

Telephone 2082534242
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Council, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 28.3 Yrs
Regional Practice Density
3 Specialists

Practicing in Council, ID (781 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: 2021-09-23
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License ID D-5262

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License CA 45619

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.

Practice Associates & Co-Workers

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

13 Associated Practitioners
Dr. Kenneth Prince , DDS

Dentist - General Practice

NPI 1114967098

Doctor of Dental Surgery

Susan Adams , LPN, NDPP COACH

Licensed Practical Nurse

NPI 1124710819

Licensed Practical Nurse, NDPPCOACH

Alex Wright , PA

Physician Assistant

NPI 1164140786

Physician Assistant

NPI 1326197278

Doctor of Osteopathic Medicine (D.O.)

Andria Hall , MA

Health Educator

NPI 1386131019

Master of Arts

Amy Beam , FNP

Nurse Practitioner - Primary Care

NPI 1528550860

Family Nurse Practitioner

Career & Practice History Timeline

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

9 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 23, 2021

Dentist (License #D-5262 in ID)

📍
Updated Practice Location July 02, 2021

Registered at 205 N BERKLEY ST, COUNCIL, ID 836125015 (Tel: 2082534242)

📍
Updated Business Mailing Address July 02, 2021

Registered at PO BOX 1268, MCCALL, ID 836381268 (Tel: 7145521562)

NPI Profile Active October 16, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location October 16, 2007

Registered at 12820 STUDEBAKER RD, STE 202, NORWALK, CA 906502582 (Tel: 5628689874)

📍
Updated Business Mailing Address October 16, 2007

Registered at 12820 STUDEBAKER RD, STE 202, NORWALK, CA 906502582 (Tel: 5628689874)

👤
Provider Name / Credentials Updated October 16, 2007

Recorded as GREGORY SMITH, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 16, 2007

Dentist (License #45619 in CA)

🟢
Initial NPI Registration & Enumeration June 27, 2005

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: 1619973401
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 27, 2005
Last Update: September 23, 2021
Sole Proprietor: No

Mailing Address

Po Box 1268

Mccall, ID 836381268

Phone: 7145521562

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.