DR. SPENCER KENNEDY SMITH DDS
NPI 1255892394
Dentist - General Practice in Keesler Afb, MS

Active since March 29, 2019
301 FISHER ST, KEESLER AFB, MS 39534(228) 376-3060 Get Directions Write a Review

NPPES record last updated: August 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 12, 2024, Aug 7, 2023, Sep 10, 2020 and 1 more (4 updates tracked since 2020).

About Dr. Spencer Kennedy Smith Dds NPPES

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

DR. SPENCER KENNEDY SMITH DDS (NPI 1255892394) is an individual general practice provider in Keesler Afb, Mississippi, licensed in Missouri (2019020377) and active in the NPI registry since March 2019. He maintains a secondary practice location in Apo.

NPPES Registry Identity

NPI1255892394
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SPENCER KENNEDY SMITHCredential: DDS
Location Address301 FISHER STKeesler Afb, MS 39534-2508
Mailing Address301 Fisher StKeesler Afb, MS 39534-2508
Sole ProprietorNo
Enumeration DateMarch 29, 2019
Last NPPES UpdateAugust 12, 20244 updates tracked since enumeration
NPPES CertifiedAugust 12, 2024
NPI 1255892394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MO · 2019020377
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.
301 FISHER ST, Keesler Afb, MS 39534

Secondary Practice Location 1

Location 118th Medical Group, Unit 5142APO, AP 96368-5142 · Phone (315) 630-4902

Other Providers at the Same Location NPPES 20

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

Pharmacist (Oncology)
301 FISHER ST, KEESLER AFB
KEESLER AFB, MS 39534
Radiology (Diagnostic Radiology)
301 FISHER ST
BILOXI, MS 39534
Military Health Care Provider
301 FISHER ST
BILOXI, MS 39534
Dentist (General Practice)
301 FISHER ST
KEESLER AFB, MS 39534
Surgery
301 FISHER ST
KEESLER AFB, MS 39534
Physical Therapist
301 FISHER ST
BILOXI, MS 39534
Internal Medicine
301 FISHER ST
BILOXI, MS 39534
Obstetrics & Gynecology
301 FISHER ST
KEESLER AFB, MS 39534

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 Spencer Smith's NPI number?

The NPI number for Spencer Smith is 1255892394. It was assigned to this individual provider in the NPPES registry on March 29, 2019.

Where is Spencer Smith located?

Spencer Smith practices at 301 Fisher St, Keesler Afb, MS 39534. The listed phone number is (228) 376-3060.

What is Spencer Smith's specialty?

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

When was this NPI record last updated?

The NPPES record for Spencer Smith was last updated on August 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.