Healthcare Provider Details

I. General information

NPI: 1255317756
Provider Name (Legal Business Name): ANN SLAUGHTER SMITH DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANN S SMITH D.D.S.

II. Dates (important events)

Enumeration Date: 12/16/2005
Last Update Date: 09/16/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 MAIN ST SUITE X
HOT SPRINGS AR
71913-4905
US

IV. Provider business mailing address

809 WINDOVER
JONESBORO AR
72401
US

V. Phone/Fax

Practice location:
  • Phone: 501-624-4421
  • Fax:
Mailing address:
  • Phone: 870-391-3337
  • Fax: 870-268-1072

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number3104
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: