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Deactivated NPI 1801896527 Deactivated / Inactive NPI Male Practitioner

Dr. Charles C Smith , DDS

Dentist - General Practice • Tipp City, OH

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

Registration / Start Date July 22, 2005
NPI Deactivation Date March 09, 2020
Total Practice Duration ~15 Years of Practice (2005 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Charles Smith, DDS was a registered Dentist - General Practice practicing in Tipp City, OH. Throughout an active medical career spanning 15 years, Dr. Smith provided care at the practice location at 110 S TIPPECANOE DR until profile deactivation on 2020-03-09.

Practice Location & Contact Primary Location

Practice Address

110 S Tippecanoe Dr

Tipp City, OH 453711140

Telephone 9376675284
Fax 2402207701
Associated Practice Facility / Clinic
🏢 Alliance Physician Inc Facility NPI 1871875179

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Tipp City, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.6 Yrs
Regional Practice Density
3 Specialists

Practicing in Tipp City, OH (4287 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 OH 13223

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

3 Associated Practitioners
NPI 1104028935

Doctor of Dental Surgery

Dr. Stuart Duchon , DDS

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1255328506

Doctor of Dental Surgery

Dr. Hady Saleh , DMD

Dentist - General Practice

NPI 1508852732

Doctor of Dental Medicine

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 March 09, 2020

Record deactivated on March 09, 2020

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 110 S TIPPECANOE DR, TIPP CITY, OH 453711140 (Tel: 9376675284)

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Updated Business Mailing Address July 08, 2007

Registered at 110 S TIPPECANOE DR, TIPP CITY, OH 453711140 (Tel: 9376675284)

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Provider Name / Credentials Updated July 08, 2007

Recorded as CHARLES SMITH, D.D.S.

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

Dentist (License #13223 in OH)

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Initial NPI Registration & Enumeration July 22, 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: 1801896527
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 22, 2005
Last Update: July 08, 2007
Deactivation Date: March 09, 2020

Mailing Address

110 S Tippecanoe Dr

Tipp City, OH 453711140

Phone: 9376675284

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.