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DR. RICHARD TYLER SMITH D.D.S.
NPI 1982084968
Dentist - Oral and Maxillofacial Surgery in Green Bay, WI

Active since June 04, 2015PECOS EnrolledAccepts Medicare Assignment
2581 DEVELOPMENT DR, GREEN BAY, WI 54311(920) 347-0400(920) 347-0868 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 19, 2026, Sep 18, 2024 (2 updates tracked since 2024).

About Dr. Richard Tyler Smith D.d.s. NPPES

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

DR. RICHARD TYLER SMITH D.D.S. (NPI 1982084968) is an individual oral and maxillofacial surgery provider in Green Bay, Wisconsin, licensed in Wisconsin (6001447) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of University Of Tennessee Hsc College Of Dentistry (2015).

NPPES Registry Identity

NPI1982084968
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. RICHARD TYLER SMITHCredential: D.D.S.
Location Address2581 DEVELOPMENT DRGreen Bay, WI 54311-4247
Mailing Address1035 Kepler DrGreen Bay, WI 54311-8320 · (920) 490-9046 · Fax (920) 405-8005
Phone(920) 347-0400
Fax(920) 347-0868
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee Hsc College Of DentistryGraduated 2015
Enumeration DateJune 4, 2015
Last NPPES UpdateMay 19, 20262 updates tracked since enumeration
NPPES CertifiedMay 19, 2026
✔ NPI 1982084968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in WI · 6001447
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 ListedDentist · General PracticeTaxonomy 1223G0001X · License 4041 (AR)
2581 DEVELOPMENT DR, Green Bay, WI 54311
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1636 N 12th AveSturgeon Bay, WI 54235-1249 · Phone (920) 743-2001
Location 2301 N Shackleford Rd, Suite B1Little Rock, AR 72211-2843 · Phone (501) 227-5155
Location 3930 Maritime DrManitowoc, WI 54220-2961 · Phone (920) 682-9121

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Richard Tyler Smith D.d.s. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9133480478
PECOS Enrollment IDI20240520000916
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 54311 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

Other Providers at the Same Location NPPES 13

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

AMANDA ROSE BANTLE APNP
Nurse Practitioner
2581 DEVELOPMENT DR
GREEN BAY, WI 54311
Brown County (920) 347-0400
KRISTA S PRIMLEY
Dentist (Oral and Maxillofacial Surgery)
2581 DEVELOPMENT DR
GREEN BAY, WI 54311
Brown County (920) 347-0400
GREGORY W WELSH DDS
Dentist (Oral and Maxillofacial Surgery)
2581 DEVELOPMENT DR
GREEN BAY, WI 54311
Brown County (920) 347-0400
KATHRYN MEADOWCROFT FNP
Nurse Practitioner (Family)
2581 DEVELOPMENT DR
GREEN BAY, WI 54311
Brown County (920) 347-0400
BAYCARE CLINIC LLP
Oral & Maxillofacial Surgery
2581 DEVELOPMENT DR
GREEN BAY, WI 54311
Brown County (920) 347-0400
GABRIELLE ARLINE RUTHERFORD
Nurse Practitioner
2581 DEVELOPMENT DR
GREEN BAY, WI 54311
Brown County (920) 347-0400
WILLIAM J NELSON DDS
Dentist (Oral and Maxillofacial Surgery)
2581 DEVELOPMENT DR
GREEN BAY, WI 54311
Brown County (920) 347-0400
BRANDON E NEWELL DDS
Dentist (Oral and Maxillofacial Surgery)
2581 DEVELOPMENT DR
GREEN BAY, WI 54311
Brown County (920) 347-0400

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 Richard Smith's NPI number?

The NPI number for Richard Smith is 1982084968. It was assigned to this individual provider in the NPPES registry on June 4, 2015.

Where is Richard Smith located?

Richard Smith practices at 2581 Development Dr, Green Bay, WI 54311. The listed phone number is (920) 347-0400.

What is Richard Smith's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Richard Smith enrolled in Medicare?

Yes. Richard Smith is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Richard Smith accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 19 other insurers list Richard 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 Richard Smith was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.