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Deactivated NPI 1770669194 Deactivated / Inactive NPI Male Practitioner

Dr. Jim D Smith , DDS

Dentist - General Practice • Kingfisher, OK

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jim Smith has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 27, 2006
NPI Deactivation Date January 27, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Jim Smith, DDS was a registered Dentist - General Practice practicing in Kingfisher, OK. Throughout an active medical career spanning 15 years, Dr. Smith provided care at the practice location at 524 S 7TH ST until profile deactivation on 2021-01-27.

Practice Location & Contact Primary Location

Practice Address

524 S 7th St

Kingfisher, OK 737503524

Telephone 4053754949
Fax 4053754946

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Kingfisher, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.8 Yrs
Regional Practice Density
8 Specialists

Practicing in Kingfisher, OK (1496 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 OK 3806

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
NPI 1013271030

Doctor of Dental Surgery

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated January 27, 2021

Record deactivated on January 27, 2021

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 524 S 7TH ST, KINGFISHER, OK 737503524 (Tel: 4053754949)

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Updated Business Mailing Address July 08, 2007

Registered at 524 S 7TH ST, KINGFISHER, OK 737503524 (Tel: 4053754949)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JIM SMITH, D.D.S.

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

Dentist (License #3806 in OK)

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Initial NPI Registration & Enumeration October 27, 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: 1770669194
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 27, 2006
Last Update: July 08, 2007
Deactivation Date: January 27, 2021

Mailing Address

524 S 7th St

Kingfisher, OK 737503524

Phone: 4053754949

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.