NPI 1063856912

Jacob Oliver Smith, DDS

Practitioner General Practice Dentistry Rogers, AR

Practice location

Address: 4307 S Pleasant Crossing Blvd STE 103, Rogers, AR 72758-1347
Phone: (479) 553-9215
Mailing address: 609 SE Hendrix St, Bentonville, AR 72712-4166

Registered specialties (2)

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 4412 (AR)

Other Dentist providers in Arkansas →

General Practice Dentistry

Dental Providers Taxonomy 1223G0001X Licence 2012019405 (MO)

Registry record

NPI: 1063856912
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Apr 2013
Record last updated: 4 Oct 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.