DR. COREY LEE SMITH (NPI# 1942511563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942511563 |
| Entity Type | Individual |
| Full Name | DR. COREY LEE SMITH |
| Credential | DDS |
| Practice Address |
11204 Racetrack Rd Ste 102 Berlin MD 21811 |
| Mailing Address |
11204 Racetrack Rd Ste 102 Berlin MD 21811-3370 |
| Practice Telephone | 4102080054 |
| Practice Fax Number | 4102080044 |
| Mailing Telephone | 4102080054 |
| Mailing Fax Number | 4102080044 |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2018-06-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
14520 | MD | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 531 Riverside Dr, Salisbury, MD 218015300 | 4103410307 | 4103410308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619365095 | Corey Smith | Physician Assistant | 229 Shore Ln, Indian Harbour Beach, FL 32937-4220 | 2015-01-07 |
| 1730496845 | Corey J Smith | Physical Therapist | 604 Old Liverpool Rd, Liverpool, NY 13088-6033 | 2010-09-10 |
| 1104440635 | Corey Smith | Internal Medicine | 1120 15th St # Bi5070, Augusta, GA 30912-0004 | 2020-06-01 |
| 1578101044 | Corey Daniel Smith | Counselor | 800 S Mchenry Ave, Crystal Lake, IL 60014-7487 | 2019-12-16 |
| 1962055954 | Corey Smith | Massage Therapist | 2605 Brewerton Rd, Mattydale, NY 13211-1147 | 2019-07-19 |
| 1487129573 | Corey Smith | Technician/Technologist | 32100 Telegraph Rd, Bingham Farms, MI 48025-2452 | 2018-10-04 |
| 1265946016 | Corey Smith | Specialist/Technologist | 900 N John R Wooden Dr, West Lafayette, IN 47907-2117 | 2017-11-30 |
| 1467803668 | Corey Smith | Physical Therapist | 2812 W 12th Ave, Emporia, KS 66801-6202 | 2016-06-29 |
| 1942624226 | Corey Smith | Counselor | 20400 Col Glenn Rd, Little Rock, AR 72210-5323 | 2014-02-07 |
| 1275811192 | Corey M Smith | Counselor | 2495 W March Ln, #125, Stockton, CA 95207-8251 | 2011-07-26 |
| Street Address |
11204 RACETRACK RD STE 102 |
| City | BERLIN |
| State | MD |
| Zip Code | 21811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366912909 | Kathleen Cathell | Speech-Language Pathologist | 11187 Racetrack Rd, Berlin, MD 21811 | 2018-11-27 |
| 1033613336 | Kimberly Rose Richardson | Registered Nurse | Atlantic General Hospital, 9733 Healthway Dr, Berlin, MD 21811 | 2018-03-21 |
| 1780108514 | Jayme Sroka Mahoney | Marriage & Family Therapist | 124 N. Main St. Ste. C, Berlin, MD 21811 | 2017-08-02 |
| 1013332543 | Ray Charles Lockamy Jr. | Behavior Technician | 10514 Racetrack Rd Ste G, Berlin, MD 21811 | 2014-02-20 |
| 1972845121 | Timothy Pearson | Dermatology | 9948 N. Main St., Berlin, MD 21811 | 2013-03-25 |
| 1710248315 | Jaime Farrell Coates | Counselor | 378 Schooner Ln, Berlin, MD 21811 | 2012-05-31 |
| 1902185697 | Lee Ahlstrom | Pharmacist | 11307 Manklin Creek Rd, Berlin, MD 21811 | 2011-08-11 |
| 1780987677 | Worcester County Health Department | Public Health or Welfare | 107 Williams Street, Worcester County Health Department Dental Center, Berlin, MD 21811 | 2010-12-15 |
| 1255656062 | Sarah Mae Brown | Pharmacist | Apple Discount Drugs 314 Franklin Avenue, Berlin, MD 21811 | 2010-04-05 |
| 1801038260 | Peninsula Regional Medical Center | Family Medicine | 10445 Ocean City Blvd, Unit #1, Berlin, MD 21811 | 2009-04-01 |
| Find all providers in zip 21811 | ||||
| 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 |
|---|---|---|---|---|
| 1215152921 | Michael John Depalma Sr. | Dentist | 500 Franklin Avenue, Unit 3, Berlin, MD 21811 | 2007-04-16 |
| 1861510653 | Gerard Frederick Ott | Dentist | 1 Pitts St, Berlin, MD 21811-1127 | 2007-03-27 |
| 1487791141 | David Harry Schiff | Dentist | 11200 Racetrack Rd Ste A103, Berlin, MD 21811-3809 | 2007-01-31 |
| 1275689119 | Dennis Karl Pezzolesi Jr. | Dentist | 39 Webster Square Rd, Berlin, CT 06037-2326 | 2007-01-25 |
| 1417037276 | Steven Michael Hall | Dentist | 9928 Old Ocean City Blvd, Suite 12, Berlin, MD 21811-1122 | 2006-10-16 |
| 1992890230 | Ajay Soni | Dentist | 68 S White Horse Pike, Berlin, NJ 08009-2324 | 2006-10-03 |
| 1790884443 | Richard Joseph Gawarzewski | Dentist | 3 Harker Avenue, Suite E, Berlin, NJ 08009-2300 | 2006-09-21 |
| 1043314677 | William Harold Hastreiter | Dentist | 102 W Huron St, Berlin, WI 54923 | 2006-09-12 |
| 1184731986 | Kevin C Yoder | Dentist | 4913 West Main St., Berlin, OH 44610 | 2006-08-25 |
| 1912939356 | Robert A. Leonetti | Dentist | 7 Harker Ave, Suite One, Berlin, NJ 08009-2331 | 2006-07-07 |
| Find all providers in BERLIN | ||||
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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.