DR. JACOB OLIVER SMITH D.D.S. NPI 1063856912

NPI Information

NPI: 1063856912
Provider Name: DR. JACOB OLIVER SMITH, D.D.S.
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
4307 S PLEASANT CROSSING BLVD STE 103
ROGERS, AR
ZIP 72758
Phone: (479) 553-9215
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DR. Jacob Oliver Smith, D.D.S. is a general practice dentist in Rogers, AR. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Jacob Oliver Smith, D.D.S. NPI is 1063856912. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4307 S PLEASANT CROSSING BLVD STE 103
ROGERS, AR
ZIP 72758-347
Phone: (479) 553-9215

The enumeration date for this NPI number is 4/22/2013 and was last updated on 10/4/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	2012019405	MISSOURI	No
2	1223G0001X	Dentist	General Practice	4412	ARKANSAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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