Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jacob Oliver Smith, DDS

Individual provider General Practice Dentistry · NPI 1063856912

Dr. Jacob Oliver Smith, DDS is a General Practice Dentistry in Rogers, Arkansas. Practices as a sole proprietor. Licensed in Arkansas and Missouri.

Licensed in
AR, MO
In the registry since
2013
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

4307 S Pleasant Crossing Blvd Ste 103
Rogers, AR 72758-1347
Phone: (479) 553-9215
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 4412 (AR)
General Practice Dentistry Taxonomy 1223G0001X · Licence 2012019405 (MO)

Record details

NPI number1063856912
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedApril 22, 2013
Last updated in NPPESOctober 4, 2021
Certification dateOctober 4, 2021
Mailing address609 Se Hendrix St, Bentonville, AR 72712-4166

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