Healthcare Provider Details

I. General information

NPI: 1245623743
Provider Name (Legal Business Name): SAFIYA SMITH DDS, MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/09/2015
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1771 CAPITAL CIR NE
TALLAHASSEE FL
32308-5517
US

IV. Provider business mailing address

1771 CAPITAL CIR NE
TALLAHASSEE FL
32308-5517
US

V. Phone/Fax

Practice location:
  • Phone: 850-765-3748
  • Fax:
Mailing address:
  • Phone: 850-765-3748
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License NumberDN21778
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN21778
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: