KIMBERLY BLAIR SMITH DMD PA
NPI 1891842332
Clinic/Center - Dental in Mendenhall, MS

Active since January 05, 2007
409 MAIN ST N, MENDENHALL, MS 39114(601) 847-1223(601) 847-9131 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kimberly Blair Smith Dmd Pa NPPES

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

KIMBERLY BLAIR SMITH DMD PA (NPI 1891842332) is a healthcare organization registered as a dental in Mendenhall, Mississippi and active in the NPI registry since January 2007. The organization lists Kimberly Blair Smith, President, as its authorized official.

NPPES Registry Identity

NPI1891842332
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameKIMBERLY BLAIR SMITH DMD PA
Location Address409 MAIN ST NMendenhall, MS 39114-3318
Mailing Address409 Main St NMendenhall, MS 39114-3318 · (601) 847-1223 · Fax (601) 847-9131
Fax(601) 847-9131
Organization SubpartNo
Authorized OfficialKimberly Blair SmithPresident · (601) 847-1223
Enumeration DateJanuary 5, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1891842332 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 MS · 3186-01
409 MAIN ST N, Mendenhall, MS 39114

Other Identifiers 1

Medicaid09015751MS

Other Providers at the Same Location NPPES

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

Dentist (General Practice)
409 MAIN ST N
MENDENHALL, MS 39114

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 Kimberly Blair Smith Dmd PA's NPI number?

The NPI number for Kimberly Blair Smith Dmd PA is 1891842332. It was assigned to this organization in the NPPES registry on January 5, 2007.

Where is Kimberly Blair Smith Dmd PA located?

Kimberly Blair Smith Dmd PA is located at 409 Main St N, Mendenhall, MS 39114. The listed phone number is (601) 847-1223.

What is Kimberly Blair Smith Dmd PA'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 Kimberly Blair Smith Dmd PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.