Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1154324002 Individual Practitioner Male Practitioner

Dr. Scott Raymond Smith , DDS

Dentist - General Practice • Adrian, MI

Professional Overview & Biography Verified Profile Summary

Dr. Scott Smith, DDS is a registered healthcare professional specializing in Dentist - General Practice in Adrian, MI. Practice services are available at 770 RIVERSIDE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

770 Riverside Ave
Ste 201

Adrian, MI 492211465

Telephone 5172655577
Fax 5172658068
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Adrian, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.8 Yrs
Regional Practice Density
13 Specialists

Practicing in Adrian, MI (4360 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: 2024-06-17
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MI 12556

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

15 Associated Practitioners
Gerald Mccullough , AMA, CAADC

Counselor - Addiction (Substance Use Disorder)

NPI 1194132449
Helen Jakstas , RN, MHP, MS

Nurse Practitioner - Family

NPI 1326148479

Registered Nurse, Mental Health Practitioner, Master of Science

Grady Elam , LMSW

Social Worker - Clinical

NPI 1417391673

Licensed Master Social Worker

Allison Fulgenti

Social Worker

NPI 1477143030
Dr. Chad Burtless-Creps , DDS

Dentist - General Practice

NPI 1487862389

Doctor of Dental Surgery

NPI 1497758650

Doctor of Medicine (M.D.)

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 770 RIVERSIDE AVE, STE 201, ADRIAN, MI 492211465 (Tel: 5172655577)

📍
Updated Business Mailing Address July 08, 2007

Registered at 770 RIVERSIDE AVE, STE 201, ADRIAN, MI 492211465 (Tel: 5172655577)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as SCOTT SMITH, D.D.S.

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

Dentist (License #12556 in MI)

🟢
Initial NPI Registration & Enumeration May 24, 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: 1154324002
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 24, 2005
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

770 Riverside Ave, Ste 201

Adrian, MI 492211465

Phone: 5172655577

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.