John Smith, DDS PA
NPI 1205929684 · General Practice Dentistry · Greenwood, MS
Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
John Smith, DDS PA is a General Practice Dentistry provider in Greenwood, MS (NPI 1205929684).
Provider details
- NPI number
- 1205929684
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS PA
- Sex
- Male
- Sole proprietor
- No
- License
- 185279 (MS)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-09-30
- Last updated
- 2007-07-08
Frequently asked questions
- What is John Smith's NPI number?
- John Smith's National Provider Identifier (NPI) is 1205929684, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is John Smith's specialty?
- John Smith is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is John Smith located?
- John Smith's practice location on file with NPPES is 910 Medallion Dr, Greenwood, MS 38930-2118.
- What is John Smith's phone number?
- The practice phone number listed in the NPPES registry for John Smith is (662) 455-9149.
- Does John Smith accept Medicare?
- John Smith is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is John Smith's NPI active?
- Yes — John Smith's NPI (1205929684) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.