Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1356012702 Individual Practitioner Male Practitioner

Dr. John Lee Smith , MS, DDS

Dentist - Periodontics • Chantilly, VA

Professional Overview & Biography Verified Profile Summary

Dr. John Smith, MS, DDS is a registered healthcare professional specializing in Dentist - Periodontics in Chantilly, VA. Practice services are available at 13916 METROTECH DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

13916 Metrotech Dr

Chantilly, VA 201513238

Telephone 7034889922

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Periodontics in Chantilly, VA

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

Practicing in Chantilly, VA (221 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: 2026-07-18
Dentist - Periodontics Primary Specialty

NUCC Taxonomy Code: 1223P0300X

State License VA 0401417676

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

Dentist - Periodontics

NUCC Taxonomy Code: 1223P0300X

State License DC DEN2000471

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

Secondary Practice Locations

1331 Pennsylvania Ave Nw Ste 502

Washington, DC 200041771

Phone: 2023470100

Practice Associates & Co-Workers

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

1 Associated Practitioners
Mike Yeo

Dentist

NPI 1356534325

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Business Mailing Address July 18, 2026

Registered at 13916 METROTECH DR, CHANTILLY, VA 201513238 (Tel: 7039465299)

👤
Provider Name / Credentials Updated July 18, 2026

Recorded as JOHN SMITH, MS, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 18, 2026

Dentist (License #0401417676 in VA)

📍
Updated Practice Location June 24, 2024

Registered at 13916 METROTECH DR, CHANTILLY, VA 201513238 (Tel: 7034889922)

NPI Profile Active September 24, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location September 24, 2021

Registered at 20 WILLIAMS BLVD APT 1A, LAKE GROVE, NY 117552419 (Tel: 7039465299)

📍
Updated Business Mailing Address September 24, 2021

Registered at 20 WILLIAMS BLVD APT 1A, LAKE GROVE, NY 117552419 (Tel: 7039465299)

👤
Provider Name / Credentials Updated September 24, 2021

Recorded as JOHN SMITH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 24, 2021

Dentist (License #0401417676 in VA)

🟢
Initial NPI Registration & Enumeration September 24, 2021

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: 1356012702
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 24, 2021
Last Update: July 18, 2026
Sole Proprietor: Yes

Mailing Address

13916 Metrotech Dr

Chantilly, VA 201513238

Phone: 7039465299

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.