Kelli Simone Smith, DMD

General Practice Dentistry · O Fallon, MO

Individual Active NPI

NPI number 1497323117

Practice location

1630 Market Center Blvd Fl 1
O Fallon, MO 63368-8407
Phone
(636) 300-4380
Fax
(636) 300-0073

Open in Google Maps

NPI record

NPI
1497323117
Entity type
Individual (Type 1)
Enumeration date
June 17, 2021
Last updated
June 17, 2021
Certified
June 17, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 2021022556 MO

About Dr. Smith

Kelli Simone Smith, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1630 Market Center Blvd Fl 1, O Fallon, MO 63368-8407. The NPI number 1497323117 was assigned on June 17, 2021 and the record was last updated on June 17, 2021.

Dr. Smith lists a license in the registry: #2021022556 (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 Kelli Simone Smith, DMD?

The NPI number is 1497323117.

What is the phone number of Dr. Smith?

The phone number listed for the practice location is (636) 300-4380.

Where is Dr. Smith located?

1630 Market Center Blvd Fl 1, O Fallon, MO 63368-8407.

What is the taxonomy code for Dr. Smith?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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 O Fallon

All General Practice Dentistry providers in O Fallon, MO →