Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jerrold Wayne Smith, DDS

Individual provider General Practice Dentistry · NPI 1396892030

Dr. Jerrold Wayne Smith, DDS is a General Practice Dentistry in Chicago, Illinois. Licensed in Illinois and Indiana. Registered with an NPI since 2007.

Licensed in
IL, IN
In the registry since
2007
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

2000 W 95th St
Chicago, IL 60643-1116
Phone: (773) 881-3920
Fax: (773) 881-4058
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 019016584 (IL)
General Practice Dentistry Taxonomy 1223G0001X · Licence 12010685 (IN)

Record details

NPI number1396892030
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJanuary 4, 2007
Last updated in NPPESApril 12, 2016
Mailing address2000 W. 95th. Street, Chicago, IL 60643-1116

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