Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1164589727 Individual Practitioner Male Practitioner

Dr. Clark K Smith , DDS

Dentist - General Practice • Redford, MI

Professional Overview & Biography Verified Profile Summary

Dr. Clark Smith, DDS is a registered healthcare professional specializing in Dentist - General Practice in Redford, MI. Practice services are available at 25850 JOY RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

25850 Joy Rd

Redford, MI 482391801

Telephone 3139372968
Fax 3139372969

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Redford, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.8 Yrs
Regional Practice Density
12 Specialists

Practicing in Redford, MI (4360 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 MI 2901012555

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
12010004057155 (MI)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 25850 JOY RD, REDFORD, MI 482391801 (Tel: 3139372968)

📍
Updated Business Mailing Address July 09, 2007

Registered at 25850 JOY RD, REDFORD, MI 482391801 (Tel: 3139372968)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as CLARK SMITH, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Dentist (License #2901012555 in MI)

🟢
Initial NPI Registration & Enumeration January 03, 2007

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: 1164589727
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 03, 2007
Last Update: July 09, 2007
Sole Proprietor: Yes

Mailing Address

25850 Joy Rd

Redford, MI 482391801

Phone: 3139372968

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.