DR. RICHARD TYLER SMITH D.D.S. NPI 1982084968

NPI Information

  • NPI: 1982084968
  • Provider Name: DR. RICHARD TYLER SMITH, D.D.S.
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2581 DEVELOPMENT DR
    GREEN BAY, WI
    ZIP 54311
  • Phone: (920) 347-0400

Map and Directions

Get Directions

NPI Details

DR. Richard Tyler Smith, D.D.S. is an oral and maxillofacial surgery dentist in Green Bay, WI with 11 years of experience. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Richard Tyler Smith, D.D.S. NPI is 1982084968. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF TENNESSEE HSC COLLEGE OF DENTISTRY
Graduation Year:2015

The provider's business location address is:

2581 DEVELOPMENT DR
GREEN BAY, WI
ZIP 54311-247
Phone: (920) 347-0400

The NPI 1982084968 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/4/2015 and was last updated on 9/18/2024.

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
11223G0001XDentistGeneral Practice4041ARKANSASNo
21223S0112XDentistOral and Maxillofacial Surgery6001447WISCONSINYes

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI