DR. CLARK K SMITH D.D.S.
NPI 1164589727
Dentist - General Practice in Redford, MI

Q: What is Clark Smith's NPI number?

The NPI number for Clark Smith is 1164589727. It was assigned to this individual provider in the NPPES registry on January 3, 2007. The provider is also known as Clark K Smith D.D.S..

Q: What is Clark Smith's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Clark Smith was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since January 03, 2007PECOS Enrolled

25850 JOY RD, REDFORD, MI 48239(313) 937-2968(313) 937-2969 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Clark K Smith D.d.s. NPPES

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

DR. CLARK K SMITH D.D.S. (NPI 1164589727) is an individual general practice provider in Redford, Michigan, licensed in Michigan (2901012555) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164589727

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. CLARK K SMITHCredential: D.D.S.

Location Address25850 JOY RDRedford, MI 48239-1801

Mailing Address25850 Joy RdRedford, MI 48239-1801 · (313) 937-2968 · Fax (313) 937-2969

Phone(313) 937-2968

Fax(313) 937-2969

Sole ProprietorYes

Enumeration DateJanuary 3, 2007

Last NPPES UpdateJuly 9, 2007

✔ NPI 1164589727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MI · 2901012555

Definition

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.

25850 JOY RD, Redford, MI 48239

Open in Google Maps ↗

Other Names 1

Professional Name (2)Clark K Smith D.d.s.

Other Identifiers 3

Medicare UPIN2901012555MI

Medicare UPIN12555MI

Medicaid12010004057155MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Michigan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Clark K Smith D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48239 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Clark Smith's NPI number?

The NPI number for Clark Smith is 1164589727. It was assigned to this individual provider in the NPPES registry on January 3, 2007. The provider is also known as Clark K Smith D.D.S..

Where is Clark Smith located?

Clark Smith practices at 25850 Joy Rd, Redford, MI 48239. The listed phone number is (313) 937-2968.

What is Clark Smith's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Clark Smith enrolled in Medicare?

Yes. Clark Smith is registered in the Medicare PECOS enrollment system.

What insurance does Clark Smith accept?

Health plans from Delta Dental of Michigan list Clark Smith as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Clark Smith was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.