Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174634489 Individual Practitioner Male Practitioner

Dr. Douglas Parker Smith , DDS

Dentist - General Practice • Neosho, MO

Professional Overview & Biography Verified Profile Summary

Dr. Douglas Smith, DDS is a registered healthcare professional specializing in Dentist - General Practice in Neosho, MO. Practice services are available at 516 W MCCORD ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

516 W Mccord St

Neosho, MO 648501424

Telephone 4174510977
Associated Practice Facility / Clinic
🏢 Southwest Missouri Counseling Facility NPI 1225252364

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Neosho, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.5 Yrs
Regional Practice Density
12 Specialists

Practicing in Neosho, MO (2113 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 MO 2004005782

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
400568002 (MO)

Practice Associates & Co-Workers

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

6 Associated Practitioners
Alyson Stout , RDH

Dental Hygienist

NPI 1063878486

Registered Dental Hygienist

Savannah Weber , RDH

Dental Hygienist

NPI 1134588577

Registered Dental Hygienist

NPI 1356579080

Doctor of Dental Surgery

Kathryn Housh , RDH

Dental Hygienist

NPI 1518655604

Registered Dental Hygienist

Dr. Conner Paustian , DDS

Dentist - General Practice

NPI 1841851458

Doctor of Dental Surgery

Dr. Andrew Byrne , DDS

Dentist - General Practice

NPI 1982354734

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 05, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location June 05, 2012

Registered at 516 W MCCORD ST, NEOSHO, MO 648501424 (Tel: 4174510977)

📍
Updated Business Mailing Address June 05, 2012

Registered at 142 COUNTRY BLUFF DR, BRANSON, MO 656168848 (Tel: 4172305511)

👤
Provider Name / Credentials Updated June 05, 2012

Recorded as DOUGLAS SMITH, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 05, 2012

Dentist (License #2004005782 in MO)

🟢
Initial NPI Registration & Enumeration August 31, 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: 1174634489
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 31, 2006
Last Update: June 05, 2012
Sole Proprietor: No

Mailing Address

142 Country Bluff Dr

Branson, MO 656168848

Phone: 4172305511

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.