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Active NPI 1669821351 Individual Practitioner Male Practitioner

Jonathan Smith , DENTAL ASSISTANT X2

Dental Assistant • Fort Drum, NY

Professional Overview & Biography Verified Profile Summary

Jonathan Smith, DENTAL ASSISTANT X2 is a registered healthcare professional specializing in Dental Assistant in Fort Drum, NY. Practice services are available at 10590 ENDURING FREEDOM DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

10590 Enduring Freedom Dr

Fort Drum, NY 136025005

Telephone 3157726234

Specialty Benchmarks & Practice Insights

Comparative analytics for Dental Assistant in Fort Drum, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
14 Specialists

Practicing in Fort Drum, NY (33 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

Dental Assistant Primary Specialty

NUCC Taxonomy Code: 126800000X

An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary.

Practice Associates & Co-Workers

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

35 Associated Practitioners
NPI 1033568720

DENTALASSISTANTEFDA

NPI 1073961702

DENTALHYGIENIST

Dr. Donald Cole , DDS

Dentist - General Practice

NPI 1104817113

Doctor of Dental Surgery

NPI 1114376803

DENTALASSISTANTEFDA

NPI 1144653320

Doctor of Dental Surgery

NPI 1285030775

Doctor of Dental Medicine

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 03, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location June 03, 2016

Registered at 10590 ENDURING FREEDOM DR, FORT DRUM, NY 136025005 (Tel: 3157726234)

📍
Updated Business Mailing Address June 03, 2016

Registered at 10590 ENDURING FREEDOM DR, FORT DRUM, NY 136025005 (Tel: 3157726234)

👤
Provider Name / Credentials Updated June 03, 2016

Recorded as JONATHAN SMITH, DENTAL ASSISTANT X2

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 03, 2016

Dental Assistant

🟢
Initial NPI Registration & Enumeration June 03, 2016

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: 1669821351
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 03, 2016
Last Update: June 03, 2016
Sole Proprietor: Yes

Mailing Address

10590 Enduring Freedom Dr

Fort Drum, NY 136025005

Phone: 3157726234

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.