Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1952411019 Deactivated / Inactive NPI Male Practitioner

Dr. David Paul Phillips , DDS

Dentist - General Practice • Fort Smith, AR

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. David Phillips has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 30, 2006
NPI Deactivation Date March 26, 2010
Total Practice Duration ~4 Years of Practice (2006 – 2010)

Professional Overview & Biography Verified Profile Summary

Dr. David Phillips, DDS was a registered Dentist - General Practice practicing in Fort Smith, AR. Throughout an active medical career spanning 4 years, Dr. Phillips provided care at the practice location at 1501 S WALDRON RD until profile deactivation on 2010-03-26.

Practice Location & Contact Primary Location

Practice Address

1501 S Waldron Rd
Suite 208

Fort Smith, AR 729032574

Telephone 4794522994
Fax 4794845865
Associated Practice Facility / Clinic
🏢 Sparks Medical Foundatin Facility NPI 1790880797

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Fort Smith, AR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 25.0 Yrs
Regional Practice Density
53 Specialists

Practicing in Fort Smith, AR (909 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License AR 2034

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
184553608 (AR)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Jerry Clemons , DDS

Dentist - General Practice

NPI 1922178136

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location August 01, 2012

Registered at 1501 S WALDRON RD, SUITE 208, FORT SMITH, AR 729032574 (Tel: 4794522994)

📍
Updated Business Mailing Address August 01, 2012

Registered at PO BOX 10007, FORT SMITH, AR 72917 (Tel: 4794522994)

👤
Provider Name / Credentials Updated August 01, 2012

Recorded as DAVID PHILLIPS, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 01, 2012

Dentist (License #2034 in AR)

🔄
NPI Profile Reactivated May 01, 2012

Record officially reactivated for active practice on May 01, 2012

⚠️
NPI Profile Deactivated March 26, 2010

Record deactivated on March 26, 2010

🟢
Initial NPI Registration & Enumeration August 30, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. David Phillips. Be the first to share your experience!

Sign in to leave a review for Dr. David Phillips

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1952411019
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 30, 2006
Last Update: August 01, 2012
Deactivation Date: March 26, 2010
Sole Proprietor: No

Mailing Address

Po Box 10007

Fort Smith, AR 72917

Phone: 4794522994

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.