Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1497323117 Individual Practitioner Female Practitioner

Dr. Kelli Simone Smith , DMD

Dentist - General Practice • O Fallon, MO

Professional Overview & Biography Verified Profile Summary

Dr. Kelli Smith, DMD is a registered healthcare professional specializing in Dentist - General Practice in O Fallon, MO. Practice services are available at 1630 MARKET CENTER BLVD FL 1 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1630 Market Center Blvd Fl 1

O Fallon, MO 633688407

Telephone 6363004380
Fax 6363000073
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in O Fallon, MO

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

Practicing in O Fallon, 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

CMS Verified: 2021-06-17
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MO 2021022556

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

3 Associated Practitioners
NPI 1336598549

Doctor of Dental Surgery

Dr. Ryan Austin , DDS

Dentist - General Practice

NPI 1649619073

Doctor of Dental Surgery

NPI 1932336799

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 17, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location June 17, 2021

Registered at 1630 MARKET CENTER BLVD FL 1, O FALLON, MO 633688407 (Tel: 6363004380)

📍
Updated Business Mailing Address June 17, 2021

Registered at 1630 MARKET CENTER BLVD FL 1, O FALLON, MO 633688407 (Tel: 6363004380)

👤
Provider Name / Credentials Updated June 17, 2021

Recorded as KELLI SMITH, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2021

Dentist (License #2021022556 in MO)

🟢
Initial NPI Registration & Enumeration June 17, 2021

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: 1497323117
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 17, 2021
Last Update: June 17, 2021
Sole Proprietor: No

Mailing Address

1630 Market Center Blvd Fl 1

O Fallon, MO 633688407

Phone: 6363004380

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.