DR. DAVID H SMITH DMD
NPI 1790853307
Dentist - Oral and Maxillofacial Surgery in Bolingbrook, IL

Active since December 01, 2006Opted out of Medicare · through Mar 26, 2027
406B WEST BOUGHTON, BOLINGBROOK, IL 60440(630) 759-8940(630) 759-9392 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. David H Smith Dmd NPPES

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

DR. DAVID H SMITH DMD (NPI 1790853307) is an individual oral and maxillofacial surgery provider in Bolingbrook, Illinois and active in the NPI registry since December 2006. He has opted out of Medicare through March 26, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1790853307
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. DAVID H SMITHCredential: DMD
Location Address406B WEST BOUGHTONBolingbrook, IL 60440
Mailing Address406b West BoughtonBolingbrook, IL 60440 · (630) 759-8940 · Fax (630) 759-9392
Fax(630) 759-9392
Sole ProprietorNo
Enumeration DateDecember 1, 2006
Last NPPES UpdateSeptember 11, 2025
NPI 1790853307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Also ListedDentistTaxonomy 122300000X

Other Identifiers 1

Other15921IL · Bcbs

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. David H Smith Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 26, 2015 through March 26, 2027.

Opt-Out Effective DateMarch 26, 2015
Opt-Out In Effect ThroughMarch 26, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60440 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
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

The NPI number assigned to this healthcare provider is 1790853307, enumerated as an "individual" on December 01, 2006.

The provider is located at 406B WEST BOUGHTON BOLINGBROOK, IL 60440 and the phone number is (630) 759-8940.

Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Blue Cross and. Please consult your insurance carrier or call the provider to verify.