Paul Fredland Smith Jr, DDS is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Shaker Hts., Ohio. His current practice location is
20119 Farnsleigh Rd., #207, Shaker Hts., Ohio. You can reach out to his office (for appointments etc.) via phone at
(216) 751-3800.
Paul Fredland Smith Jr is licensed to practice in Ohio (license number 30015868) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1417976333.
Healthcare Provider's Profile
Full Name | Paul Fredland Smith Jr |
---|
Gender | Male |
---|
Speciality | Dentist - Oral And Maxillofacial Surgery |
---|
Location | 20119 Farnsleigh Rd., Shaker Hts., Ohio |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1417976333
- Provider Enumeration Date: 07/19/2006
- Last Update Date: 10/27/2016
Medicare PECOS Information:
- PECOS PAC ID: 2264711985
- Enrollment ID: I20161118002294
Medical Identifiers
Medical identifiers for Paul Fredland Smith Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417976333 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 30015868 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Paul Fredland Smith Jr is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Paul Fredland Smith Jr, DDS 3461 Warrensville Center Rd, Ste 306, Shaker Hts, OH 44122-5227 Ph: (216) 751-3800 | Paul Fredland Smith Jr, DDS 20119 Farnsleigh Rd., #207, Shaker Hts., OH 44122-3613 Ph: (216) 751-3800 |
Reviews and Comments