MEDICARE: DR. JOHN MICHAEL SMITH D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223P0221X	Pediatric Dentistry	17587	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	483091	OTHER		UNITED CONCORDIA INSURANC

General Provider Information

NPI Number	:	1497758122
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN MICHAEL SMITH D.D.S.

Provider Business Mailing Address
First Line	:	468 COUNTRYSIDE DR
Second Line	:
City	:	BROADVIEW HEIGHTS
State	:	OH
Zip	:	44147-3413
Country	:	US
Telephone Number	:	440-582-0612
Fax Number	:	440-582-0622

Provider Business Practice Location Address
First Line	:	15380 BAGLEY RD
Second Line	:
City	:	MIDDLEBURG HEIGHTS
State	:	OH
Zip	:	44130-4824
Country	:	US
Telephone Number	:	440-888-6300
Fax Number	:	440-888-6329

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	07/08/2007

Similar Medicare Providers

1497382113 — DR. AMY LYNN SEAGRAVES DDS
Practice Location Address:

15380 BAGLEY RD
MIDDLEBURG HEIGHTS, OH
44130-4824

Practice Phone: 440-530-9336
Practice Fax:

1871283572 — SPRING & SPROUT MANAL SUNNA, DDS INC.
Practice Location Address:

15380 BAGLEY RD
MIDDLEBURG HEIGHTS, OH
44130-4824

Practice Phone: 440-568-8920
Practice Fax:

1558408955 — MIDDLEBURG HEIGHTS CHIROPRACTIC OFFICE, INC.
Practice Location Address:

15350 BAGLEY RD
CLEVELAND, OH
44130-4824

Practice Phone: 440-866-4990
Practice Fax: 440-866-1288

1881649788 — DR. ROY A GOLSCH DC
Practice Location Address:

15350 BAGLEY RD
CLEVELAND, OH
44130-4824

Practice Phone: 440-866-4990
Practice Fax: 440-866-1288

1649427550 — DR. JOEL S. GOLDBERG
Practice Location Address:

1420 N ARLINGTON HEIGHTS RD
ARLINGTON HEIGHTS, IL
60004-4824

Practice Phone: 847-392-6610
Practice Fax: 847-394-4189

1265847859 — DR. EDWARD JOHN D.D.S.
Practice Location Address:

1420 N ARLINGTON HEIGHTS RD
ARLINGTON HEIGHTS, IL
60004-4824

Practice Phone: 847-255-3020
Practice Fax: 847-255-3036

Directions to “ DR. JOHN MICHAEL SMITH D.D.S.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.