Dr. Dennis Rayvon Smith is a Gordon, Georgia based Dentist who is specialized in
Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Dennis Rayvon Smith is
10175 for Dentistry in Georgia. His current practice location is
106 College Street, Gordon. Patients can reach him at
478-628-2142.
Dr. Dennis Rayvon Smith is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Dennis Rayvon Smith speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Dennis Rayvon Smith |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 106 College Street, Gordon,
Georgia, 31031-0326 |
| Phone: | 478-628-2142 |
| Fax: | 478-628-1400 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1124173356 |
| NPI Enumeration Date: | 25 Jan, 2007 |
| NPI Last Update On: | 08 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Dennis Rayvon Smith are as mentioned below.
| License Number | Specialization | State | Status | |
| 10175 | Dentistry | Georgia | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Dennis Rayvon Smith such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 100138 | Other | Georgia | AVESIS |
| 000018378C | Medicaid | Georgia | |
| 108516 | Other | Georgia | DORAL - WELLCARE |
| 582423363 | Other | Georgia | TAX ID # |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 326, 106 College Street
Gordon, Georgia |
| Zip: | 31031-0326 |
| Phone Number: | 478-628-2142 |
| Fax Number: | 478-628-1400 |
Patients can reach Dr. Dennis Rayvon Smith at
106 College Street, Gordon, Georgia or can
call to book an appointment on 478-628-2142.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.