Dr Richard Russell Smith Iii, DMD is a medicare enrolled "Student In An Organized Health Care Education/training Program" provider in Richmond, Virginia. His current practice location is
520 N 12th St, Richmond, Virginia. You can reach out to his office (for appointments etc.) via phone at
(804) 828-9190.
Dr Richard Russell Smith Iii is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1174217129.
Healthcare Provider's Profile
Full Name | Dr Richard Russell Smith Iii |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 520 N 12th St, Richmond, Virginia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1174217129
- Provider Enumeration Date: 06/05/2023
- Last Update Date: 08/06/2025
Medicare PECOS Information:
- PECOS PAC ID: 5799147450
- Enrollment ID: I20230811000735
Medical Identifiers
Medical identifiers for Dr Richard Russell Smith Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174217129 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223P0300X | Dentist - Periodontics | 0401418548 (Virginia) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Richard Russell Smith Iii is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Richard Russell Smith Iii, DMD 520 N 12th St, Richmond, VA 23298-5064 Ph: (804) 828-9190 | Dr Richard Russell Smith Iii, DMD 520 N 12th St, Richmond, VA 23298-5064 Ph: (804) 828-9190 |
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