Healthcare Provider Details

I. General information

NPI: 1548993298
Provider Name (Legal Business Name): HANNAH LEIGH SMITH DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2022
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7820 BALLANTYNE COMMONS PKWY STE 200
CHARLOTTE NC
28277-2889
US

IV. Provider business mailing address

7820 BALLANTYNE COMMONS PKWY STE 200
CHARLOTTE NC
28277-2889
US

V. Phone/Fax

Practice location:
  • Phone: 704-759-0000
  • Fax:
Mailing address:
  • Phone: 704-759-0000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number12906
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: