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Active NPI 1124096755 Individual Practitioner Male Practitioner

Dr. Mark David Smith , DDS

Dentist - General Practice • Tahlequah, OK

Professional Overview & Biography Verified Profile Summary

Dr. Mark Smith, DDS is a registered healthcare professional specializing in Dentist - General Practice in Tahlequah, OK. Practice services are available at 1205 E ROSS BYPASS under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1205 E Ross Bypass

Tahlequah, OK 74464

Telephone 9184562555
Fax 9184562444
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Tahlequah, OK

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

Practicing in Tahlequah, 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 5389

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
20020390 (OK)

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Robert Jones , DDS

Dentist - General Practice

NPI 1306814934

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 July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1205 E ROSS BYPASS, TAHLEQUAH, OK 74464 (Tel: 9184562555)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1205 E ROSS BYPASS, TAHLEQUAH, OK 74464 (Tel: 9184562555)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MARK SMITH, DDS

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

Dentist (License #5389 in OK)

🟢
Initial NPI Registration & Enumeration March 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: 1124096755
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 09, 2006
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

1205 E Ross Bypass

Tahlequah, OK 74464

Phone: 9184562555

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.