Richard Nelson Smith, DMD

General Practice Dentistry · Jackson, MS

Individual Active NPI

NPI number 1124038286

Practice location

989 Ellis Ave
Jackson, MS 39209-6256
Phone
(601) 354-3557

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NPI record

NPI
1124038286
Entity type
Individual (Type 1)
Enumeration date
August 9, 2006
Last updated
April 28, 2023
Certified
April 28, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 4329-23 MS
General Practice Dentistry 1223G0001X OR5478 OR

Mailing address

119 Lakepointe Dr
Madison, MS 39110-9203
Phone
(541) 729-4969

About Dr. Smith

Richard Nelson Smith, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 989 Ellis Ave, Jackson, MS 39209-6256. The NPI number 1124038286 was assigned on August 9, 2006 and the record was last updated on April 28, 2023.

Dr. Smith lists 2 licenses in the registry: #4329-23 (MS) for General Practice Dentistry; #OR5478 (OR) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Richard Nelson Smith, DMD?

The NPI number is 1124038286.

What is the phone number of Dr. Smith?

The phone number listed for the practice location is (601) 354-3557.

Where is Dr. Smith located?

989 Ellis Ave, Jackson, MS 39209-6256.

What is the taxonomy code for Dr. Smith?

The primary taxonomy code is 1223G0001X – General Practice Dentistry; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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