Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124038286 Individual Practitioner Male Practitioner

Dr. Richard Nelson Smith , DMD

Dentist - General Practice • Jackson, MS

Professional Overview & Biography Verified Profile Summary

Dr. Richard Smith, DMD is a registered healthcare professional specializing in Dentist - General Practice in Jackson, MS. Practice services are available at 989 ELLIS AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

989 Ellis Ave

Jackson, MS 392096256

Telephone 6013543557
Associated Practice Facility / Clinic
🏢 Hattiesburg Road Dental, P.c. Facility NPI 1689864662

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Jackson, MS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 29.0 Yrs
State Avg: 20.3 Yrs
Regional Practice Density
96 Specialists

Practicing in Jackson, MS (895 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: 2023-04-28
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MS 4329-23

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 OR OR5478

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.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Melanie Paige-Brown

Dentist - General Practice

NPI 1649210477

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location April 28, 2023

Registered at 989 ELLIS AVE, JACKSON, MS 392096256 (Tel: 6013543557)

📍
Updated Business Mailing Address April 28, 2023

Registered at 119 LAKEPOINTE DR, MADISON, MS 391109203 (Tel: 5417294969)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 497 OAKWAY RD, SUITE 200, EUGENE, OR 974015621 (Tel: 5414841955)

📍
Updated Business Mailing Address July 08, 2007

Registered at 497 OAKWAY RD, SUITE 200, EUGENE, OR 974015621 (Tel: 5414841955)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as RICHARD SMITH, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #OR5478 in OR)

🟢
Initial NPI Registration & Enumeration August 09, 2006

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: 1124038286
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 09, 2006
Last Update: April 28, 2023
Sole Proprietor: Yes

Mailing Address

119 Lakepointe Dr

Madison, MS 391109203

Phone: 5417294969

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.