Individual
DR. KEITH WAYNE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2501 MARKET TRCE, STE A, FORT SMITH, AR 72908-8677
(479) 434-6966
Mailing address
2501 MARKET TRCE, STE A, FORT SMITH, AR 72908-8677
(479) 434-6966
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2025028920
MO
1223G0001X
General Practice Dentistry
Primary
2648
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5T895
BCBS PROVIDER #
AR
01
—
975050
UNITED CONCORDIA PROV. #
AR
01
—
995157
COMPBENEFITS FACILITY #
AR
Enumeration date
05/24/2006
Last updated
08/22/2025
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