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Jackie L. Smith, D.D.S.

NPI 1609186576ActiveIndividual· Dentist· Branson, MO

Dentist (D.D.S.) in Branson, Missouri, licensed in MO, AR and TN, with an NPI issued in October 2010.

Overview

NPI1609186576
StatusActive
Entity typeIndividual
CredentialD.D.S.
Sole proprietorYes
NPI issuedOct 13, 2010
Last updated in NPPESOct 13, 2010

Specialties and licenses

TaxonomyCodeLicenseState
Dentist Primary122300000X2007034336MO
Dentist122300000X1991AR
Dentist122300000X1935TN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Dentist providers in Branson

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