Dr. Gary Stephen Smith , DDS
Dentist - General Practice • Southlake, TX
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. Gary Smith has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Gary Smith, DDS was a registered Dentist - General Practice practicing in Southlake, TX. Throughout an active medical career spanning 7 years, Dr. Smith provided care at the practice location at 1391 EMERALD CIR until profile deactivation on 2020-12-20.
Practice Location & Contact Primary Location
1391 Emerald Cir
Southlake, TX 760923305
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Southlake, TX
Practicing in Southlake, TX (10570 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on December 20, 2020
NPI status registered as active in NPPES database
Registered at 1391 EMERALD CIR, SOUTHLAKE, TX 760923305 (Tel: 8174818572)
Registered at 1391 EMERALD CIR, SOUTHLAKE, TX 760923305 (Tel: 8174818572)
Recorded as GARY SMITH, D.D.S.
Dentist (License #12240 in TX)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1391 Emerald Cir
Southlake, TX 760923305
Phone: 8174818572
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