DR. KEVIN CLARK SMITH (NPI# 1184746307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184746307 |
| Entity Type | Individual |
| Full Name | DR. KEVIN CLARK SMITH |
| Credential | DDS |
| Practice Address |
610 Ninth Ave Brunswick MD 21716-1828 |
| Mailing Address |
610 Ninth Ave Brunswick MD 21716 |
| Practice Telephone | 3018346441 |
| Practice Fax Number | 3018346546 |
| Mailing Telephone | 3018346441 |
| Mailing Fax Number | 3018346546 |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
10695 | MD | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790394310 | Kevin Lee Smith | Technician | 97 Culp Dr, Ridgeley, WV 26753-7407 | 2020-07-29 |
| 1295397495 | Kevin James Smith | Social Worker | 1076 E Rubicon Dr, Boise, ID 83716-5279 | 2019-07-08 |
| 1649831546 | Kevin Smith | Dentist | 5657 S Himalaya St Ste 270, Aurora, CO 80015-5310 | 2019-06-22 |
| 1992362875 | Kevin Gene Smith | Social Worker | 1293 Page Rd, Raleigh, NC 27603-7334 | 2019-05-25 |
| 1700314952 | Kevin Matthew Smith | Pediatrics | 715 Camino Catalina, Solana Beach, CA 92075-1631 | 2017-06-01 |
| 1124565759 | Kevin Smith | Driver | 530 Yates Ave, Calumet City, IL 60409-3119 | 2017-01-20 |
| 1487005047 | Kevin Smith | Massage Therapist | 19615 Se 342nd St, Auburn, WA 98092-1500 | 2016-06-24 |
| 1679929806 | Kevin Smith | Durable Medical Equipment & Medical Supplies | 76 Birchmount Cir, West Henrietta, NY 14586-9452 | 2016-05-06 |
| 1871998716 | Kevin Michael Smith | Physical Therapist | 15 Corporate Plaza Dr Ste 130, Newport Beach, CA 92660-7940 | 2014-11-04 |
| 1144646993 | Kevin Smith | Occupational Therapist | 322 Pillings Pond Rd, Lynnfield, MA 01940-1345 | 2014-03-17 |
| Street Address |
610 NINTH AVE |
| City | BRUNSWICK |
| State | MD |
| Zip Code | 21716-1828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497272728 | Weis Markets, Inc. | Pharmacy | 1201 Dutchman's Creek Drive, Brunswick, MD 21716 | 2017-08-28 |
| 1548438260 | Paul H Heavner | Optometrist | 60 Souder Road, Brunswick Family Vision Center, Brunswick, MD 21716 | 2008-02-15 |
| 1144374497 | Jennifer Teeter | Physician Assistant | 610 Ninth Avenue, Brunswick, MD 21716 | 2007-01-23 |
| 1467584219 | Jenni L Dorsey | Physician Assistant | 610 Ninth Avenue, Brunswick, MD 21716 | 2007-03-09 |
| 1245702901 | Anita Young | Speech-Language Pathologist | 400 Central Ave, Brunswick, MD 21716-1022 | 2018-12-19 |
| 1336610138 | Amanda Leigh Asbury | Speech-Language Pathologist | 400 Central Ave, Brunswick, MD 21716-1022 | 2018-12-06 |
| 1972147684 | Greenlane Transportation Inc | Non-emergency Medical Transport (VAN) | 213 W B St, Brunswick, MD 21716-1126 | 2019-11-05 |
| 1891127890 | Leaora L Wagner | Behavioral Analyst | 1043 Orndorff Ct, Brunswick, MD 21716-1219 | 2013-08-01 |
| 1013304245 | Autism Behavior Connection, LLC | Community/Behavioral Health | 1043 Orndorff Ct, Brunswick, MD 21716-1219 | 2015-04-26 |
| 1902190093 | Brunswick Physical Therapy LLC | Physical Therapist | 70 Souder Rd, Brunswick, MD 21716-1245 | 2011-06-06 |
| Find all providers in zip 21716 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386204568 | Keni Leonce | Dentist | 11455 Canal Xing, Brunswick, GA 31525-6747 | 2019-06-19 |
| 1497260145 | Brunswick Dentisty LLC | Dentist | 4741 Altama Ave, Brunswick, GA 31520-2910 | 2017-12-04 |
| 1124576954 | Georgia Dental Professionals, PC | Dentist | 165 Juniper Cir, Brunswick, GA 31520-1953 | 2016-09-21 |
| 1336430123 | Mary Anne Mackey | Dentist | 64 Pleasant St, Brunswick, ME 04011-2203 | 2011-04-27 |
| 1275703522 | Joe C. Massey | Dentist | 1108 1st St, Brunswick, GA 31520-4512 | 2008-03-03 |
| 1518162197 | Peter M Mazzeo | Dentist | 1026 Pearl Road, Suites 1 & 2, Brunswick, OH 44212 | 2007-06-15 |
| 1437364338 | George Michael Wommack | Dentist | 2900 Glynn Ave, Brunswick, GA 31520-4844 | 2007-05-14 |
| 1538374822 | Darryl Dale Daniel I | Dentist | 11 Professional Dr, Brunswick, GA 31520-3773 | 2007-05-11 |
| 1750501227 | Brian P. Kudla | Dentist | 2111 Pearl Rd, Brunswick, OH 44212-3245 | 2007-04-26 |
| 1649393851 | Robert William Mandel | Dentist | 3864 Center Rd, Brunswick, OH 44212 | 2007-04-10 |
| Find all providers in BRUNSWICK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.