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Deactivated NPI 1780760108 Deactivated / Inactive NPI Male Practitioner

Dr. Thomas F Smith , DDS

Dentist - General Practice • Grand Rapids, MI

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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. Thomas Smith has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 27, 2006
NPI Deactivation Date July 31, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Smith, DDS was a registered Dentist - General Practice practicing in Grand Rapids, MI. Throughout an active medical career spanning 18 years, Dr. Smith provided care at the practice location at 3000 MONROE AVE NE until profile deactivation on 2024-07-31.

Practice Location & Contact Primary Location

Practice Address

3000 Monroe Ave Ne

Grand Rapids, MI 495053397

Telephone 6163645295
Fax 6163653804
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Grand Rapids, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.0 Yrs
State Avg: 15.8 Yrs
Regional Practice Density
174 Specialists

Practicing in Grand Rapids, 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MI 2901005965

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

17 Associated Practitioners
Dorothy Hall , MSW

Social Worker - Clinical

NPI 1033144969

Master of Social Work

Kelly Tuttleman

Nutritionist

NPI 1043239890
Patrice Rozycki , RD

Dietitian, Registered

NPI 1093734386

Registered Dietitian

Dwight Ferguson , MSW

Social Worker - Clinical

NPI 1144249020

Master of Social Work

L. Webster , RD

Dietitian, Registered

NPI 1205855079

Registered Dietitian

Sara Dunne , RD

Dietary Manager

NPI 1285653576

Registered Dietitian

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 July 31, 2024

Record deactivated on July 31, 2024

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 3000 MONROE AVE NE, GRAND RAPIDS, MI 495053397 (Tel: 6163645295)

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Updated Business Mailing Address July 08, 2007

Registered at 3000 MONROE AVE NE, GRAND RAPIDS, MI 495053397 (Tel: 6163645295)

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Provider Name / Credentials Updated July 08, 2007

Recorded as THOMAS SMITH, DDS

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

Dentist (License #2901005965 in MI)

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Initial NPI Registration & Enumeration October 27, 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: 1780760108
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 27, 2006
Last Update: July 08, 2007
Deactivation Date: July 31, 2024

Mailing Address

3000 Monroe Ave Ne

Grand Rapids, MI 495053397

Phone: 6163645295

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.