Michael Robert Smith, DDS
Dentist in Little Rock, AR. Individual provider (NPI-1).
NPI number1245086958
StatusActive
Last updated in NPPESJun 26, 2025
Details
- NPI
- 1245086958
- Entity type
- Individual (NPI-1)
- Name
- Michael Robert Smith
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 24, 2024
- Certification date
- Jun 26, 2025
- Last updated
- Jun 26, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - DENTIST
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 4778 | AR | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
4301 W Markham St # 624Little Rock, AR 72205-7199
Phone 501-686-8000 · Fax 501-526-5148
Mailing address
4301 W Markham St # 783Little Rock, AR 72205-7101
Phone 501-686-8000 · Fax 501-526-5148
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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