Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1073591277 Individual Practitioner Male Practitioner

Dr. Gregg W. Smith , DDS

Dentist - General Practice • Sullivan, IN

Professional Overview & Biography Verified Profile Summary

Dr. Gregg Smith, DDS is a registered healthcare professional specializing in Dentist - General Practice in Sullivan, IN. Practice services are available at 2186 N HOSPITAL BLVD STE 1 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2186 N Hospital Blvd Ste 1

Sullivan, IN 478827654

Telephone 8122684010
Fax 8122685607
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Sullivan, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
3 Specialists

Practicing in Sullivan, IN (2204 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 - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IN 12007736A

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

Medicaid State Provider ID
100225990 (IN)

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Jessica Ellsperman , DDS

Dentist - General Practice

NPI 1912436635

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active February 22, 2016

NPI status registered as active in NPPES database

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Updated Practice Location February 22, 2016

Registered at 2186 N HOSPITAL BLVD STE 1, SULLIVAN, IN 478827654 (Tel: 8122684010)

📍
Updated Business Mailing Address February 22, 2016

Registered at 2186 N HOSPITAL BLVD STE 1, PO BOX 468, SULLIVAN, IN 478827654 (Tel: 8122684010)

👤
Provider Name / Credentials Updated February 22, 2016

Recorded as GREGG SMITH, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 22, 2016

Dentist (License #12007736A in IN)

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Initial NPI Registration & Enumeration January 06, 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: 1073591277
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 06, 2006
Last Update: February 22, 2016
Sole Proprietor: Yes

Mailing Address

2186 N Hospital Blvd Ste 1, Po Box 468

Sullivan, IN 478827654

Phone: 8122684010

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.