| Keith W. Smith, D.d.s. | |
|
301 Millwood Cir Suite 107 Maumelle AR 72113-6319 | |
| (501) 851-7645 | |
| (501) 851-4281 |
| Full Name | Keith W. Smith, D.d.s. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 301 Millwood Cir, Maumelle, Arkansas |
| Authorized Official Name and Position | Keith Wayne Smith (GENERAL DENTIST) |
| Authorized Official Contact | 5018517645 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keith W. Smith, D.d.s. 301 Millwood Cir Suite 107 Maumelle AR 72113-6319 Ph: (501) 851-7645 | Keith W. Smith, D.d.s. 301 Millwood Cir Suite 107 Maumelle AR 72113-6319 Ph: (501) 851-7645 |
| NPI Number | 1619133279 |
|---|---|
| Provider Enumeration Date | 08/04/2008 |
| Last Update Date | 08/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619133279 | NPI | - | NPPES |
| 5T895 | Other | AR | BLUE CROSS BLUE SHIELD |
| 975050 | Other | UNITED CONCORDIA | |
| 995157 | Other | COMPBENEFITS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2648 (Arkansas) | Primary |
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