Keith Wayne Smith, DDS

General Practice Dentistry · Fort Smith, AR

Individual Active NPI

NPI number 1194770362

Practice location

2501 Market Trce
Ste a
Fort Smith, AR 72908-8677
Phone
(479) 434-6966

Open in Google Maps

NPI record

NPI
1194770362
Entity type
Individual (Type 1)
Enumeration date
May 24, 2006
Last updated
August 22, 2025
Certified
August 22, 2025
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 2648 AR
General Practice Dentistry 1223G0001X 2025028920 MO

Other practice locations (2)

  • 500 Russell St, Kennett, MO 63857-2102 · (573) 717-1720
  • 220 Southland Dr, Sikeston, MO 63801-4403 · (573) 471-4167

About Dr. Smith

Keith Wayne Smith, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 2501 Market Trce, Ste a, Fort Smith, AR 72908-8677. The NPI number 1194770362 was assigned on May 24, 2006 and the record was last updated on August 22, 2025.

Dr. Smith lists 2 licenses in the registry: #2648 (AR) for General Practice Dentistry; #2025028920 (MO) 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 Keith Wayne Smith, DDS?

The NPI number is 1194770362.

What is the phone number of Dr. Smith?

The phone number listed for the practice location is (479) 434-6966.

Where is Dr. Smith located?

2501 Market Trce, Ste a, Fort Smith, AR 72908-8677.

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.

Other General Practice Dentistry providers in Fort Smith

All General Practice Dentistry providers in Fort Smith, AR →