NPI age
19 years
Enumerated 2007-01-25
● Active
Type 1 · Individual
DR. Dennis Rayvon Smith, DDS
Smith is 1 of 1 dentist providers in Gordon and 1 of 2660 in Georgia.
Primary specialty
Dentist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 2660 active dentist providers in Georgia.
NPI age
19 years
↑ 5 yr above median (14 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
16% of peers hold subspecialties
NPI lifetime · 2007 → 2026
2007-01Enumerated in NPPES
2007
2026
Where they practice
Practice location
106 College Street
Gordon, GA 310310326
Mailing address
Po Box 326, 106 College Street
Gordon, GA 310310326
Specialties
-
Dentist PrimaryA dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 100138 | AVESIS |
| 05 (GA) | 000018378C | |
| 01 (GA) | 108516 | DORAL - WELLCARE |
| 01 (GA) | 582423363 | TAX ID # |
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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