SAMUEL M SMITH DMD PHD PC
NPI 1174791990
Dentist in Centralia, IL

Q: What is Samuel M Smith Dmd Phd PC's NPI number?

The NPI number for Samuel M Smith Dmd Phd PC is 1174791990. It was assigned to this organization in the NPPES registry on February 14, 2008.

Q: What is Samuel M Smith Dmd Phd PC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since February 14, 2008

1519 EAST MCCORD ST, CENTRALIA, IL 62801(618) 532-1879(618) 532-0479 Get Directions Write a Review

NPPES record last updated: February 14, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Samuel M Smith Dmd Phd Pc NPPES

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

SAMUEL M SMITH DMD PHD PC (NPI 1174791990) is a healthcare organization registered as a dentist in Centralia, Illinois and active in the NPI registry since February 2008. The organization lists Samuel Madison Smith, Owner, as its authorized official.

NPPES Registry Identity

NPI1174791990

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameSAMUEL M SMITH DMD PHD PC

Location Address1519 EAST MCCORD STCentralia, IL 62801

Mailing Address1519 East Mccord StCentralia, IL 62801 · (618) 532-1879 · Fax (618) 532-0479

Phone(618) 532-1879

Fax(618) 532-0479

Organization SubpartNo

Authorized OfficialSamuel Madison SmithOwner · (618) 532-1879

Enumeration DateFebruary 14, 2008

✔ NPI 1174791990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

1519 EAST MCCORD ST, Centralia, IL 62801

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Samuel M Smith Dmd Phd PC's NPI number?

The NPI number for Samuel M Smith Dmd Phd PC is 1174791990. It was assigned to this organization in the NPPES registry on February 14, 2008.

Where is Samuel M Smith Dmd Phd PC located?

Samuel M Smith Dmd Phd PC is located at 1519 East Mccord St, Centralia, IL 62801. The listed phone number is (618) 532-1879.

What is Samuel M Smith Dmd Phd PC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Samuel M Smith Dmd Phd PC was last updated on February 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.