Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1063856912 Individual Practitioner Male Practitioner

Dr. Jacob Oliver Smith , DDS

Dentist - General Practice • Rogers, AR

Professional Overview & Biography Verified Profile Summary

Dr. Jacob Smith, DDS is a registered healthcare professional specializing in Dentist - General Practice in Rogers, AR. Practice services are available at 4307 S PLEASANT CROSSING BLVD STE 103 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4307 S Pleasant Crossing Blvd Ste 103

Rogers, AR 727581347

Telephone 4795539215
Associated Practice Facility / Clinic
🏢 Exo Dental Pllc Facility NPI 1730851296

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Rogers, AR

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

Practicing in Rogers, 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

CMS Verified: 2021-10-04
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License AR 4412

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License MO 2012019405

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.

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location October 04, 2021

Registered at 4307 S PLEASANT CROSSING BLVD STE 103, ROGERS, AR 727581347 (Tel: 4795539215)

📍
Updated Business Mailing Address October 04, 2021

Registered at 609 SE HENDRIX ST, BENTONVILLE, AR 727124166 (Tel: 5733808867)

NPI Profile Active March 28, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location March 28, 2014

Registered at 11301 WILSHIRE BLVD, LOS ANGELES, CA 900731003 (Tel: 3104783711)

📍
Updated Business Mailing Address March 28, 2014

Registered at 1640 BROCKTON AVE APT 12, LOS ANGELES, CA 900253739 (Tel: 5733808867)

👤
Provider Name / Credentials Updated March 28, 2014

Recorded as JACOB SMITH, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 28, 2014

Dentist (License #2012019405 in MO)

🟢
Initial NPI Registration & Enumeration April 22, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063856912
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 22, 2013
Last Update: October 04, 2021
Sole Proprietor: Yes

Mailing Address

609 Se Hendrix St

Bentonville, AR 727124166

Phone: 5733808867

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.