Dr. Clayton Thomas Smith, DDS
Dentist, General Practice in Largo, FL. Individual provider (NPI-1).
NPI number1114763166
StatusActive
Last updated in NPPESJul 22, 2024
Details
- NPI
- 1114763166
- Entity type
- Individual (NPI-1)
- Name
- Dr. Clayton Thomas Smith
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 8, 2024
- Certification date
- Jul 22, 2024
- Last updated
- Jul 22, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DN29331 | FL | Yes |
Practice location
10427 Ulmerton Rd Ste B3Largo, FL 33771-3530
Phone 727-535-9993
Mailing address
14442 Oakglen DrLargo, FL 33774-5028
Phone 615-604-2621
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