Individual
DR. STEPHEN CRAIG SMART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
318 THOMPSON AVE, EL DORADO, AR 71730-4569
(870) 863-0088
(870) 862-4230
Mailing address
318 THOMPSON AVE, EL DORADO, AR 71730-4569
(870) 863-0088
(870) 862-4230
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2321
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19552
QUALCHOICE
—
01
—
58158
BLUE CROSS BLUE SHIELD
AR
01
—
626401
UNITED CONCORDIA
—
Enumeration date
06/16/2006
Last updated
03/30/2021
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