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KEENAN W. SMITH, D.M.D., P.A.
NPI 1073757381
Clinic/Center - Dental in Greenville, SC

Active since April 30, 2009
40 CREEKVIEW CT, GREENVILLE, SC 29615(864) 676-0825(864) 676-9859 Get Directions Write a Review

NPPES record last updated: April 30, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Keenan W. Smith, D.m.d., P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEENAN W. SMITH, D.M.D., P.A. (NPI 1073757381) is a healthcare organization registered as a dental in Greenville, South Carolina and active in the NPI registry since April 2009. The organization lists Keenan Webster Smith, President, as its authorized official.

NPPES Registry Identity

NPI1073757381
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameKEENAN W. SMITH, D.M.D., P.A.
Location Address40 CREEKVIEW CTGreenville, SC 29615-4800
Mailing Address40 Creekview CtGreenville, SC 29615-4800 · (864) 676-0825 · Fax (864) 676-9859
Phone(864) 676-0825
Fax(864) 676-9859
Organization SubpartNo
Authorized OfficialKeenan Webster SmithPresident · (864) 676-0825
Enumeration DateApril 30, 2009
✔ NPI 1073757381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in SC · 4348
40 CREEKVIEW CT, Greenville, SC 29615
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Other Identifiers 1

MedicaidZX4348SC

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JASON ANDREW STACK D.M.D.
Dentist (General Practice)
40 CREEKVIEW CT
GREENVILLE, SC 29615
Greenville County (864) 676-0825
DR. PAUL EDWARD RUNDBERG D.M.D.
Dentist (General Practice)
40 CREEKVIEW CT
GREENVILLE, SC 29615
Greenville County (864) 676-0825
JASON A. STACK, DMD, PA
Clinic/Center (Dental)
40 CREEKVIEW CT
GREENVILLE, SC 29615
Greenville County (864) 676-0825
DR. ROBERT RAYMOND WALLACE DMD
Dentist (General Practice)
40 CREEKVIEW CT
GREENVILLE, SC 29615
Greenville County (864) 676-0825
ROBERT R WALLACE DMD PA
Clinic/Center (Dental)
40 CREEKVIEW CT
GREENVILLE, SC 29615
Greenville County (864) 676-0825
PAUL E. RUNDBERG, DMD, PA
Clinic/Center (Dental)
40 CREEKVIEW CT
GREENVILLE, SC 29615
Greenville County (864) 676-0825

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keenan W. Smith, D.M.D., P.A.'s NPI number?

The NPI number for Keenan W. Smith, D.M.D., P.A. is 1073757381. It was assigned to this organization in the NPPES registry on April 30, 2009.

Where is Keenan W. Smith, D.M.D., P.A. located?

Keenan W. Smith, D.M.D., P.A. is located at 40 Creekview Ct, Greenville, SC 29615. The listed phone number is (864) 676-0825.

What is Keenan W. Smith, D.M.D., P.A.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Keenan W. Smith, D.M.D., P.A. was last updated on April 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.