DR. KEITH ALLAN SMILEY (NPI# 1922524529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922524529 |
| Entity Type | Individual |
| Full Name | DR. KEITH ALLAN SMILEY |
| Credential | DDS |
| Practice Address |
7223 Mississippi Avenue Bldg. 1561 Fort Polk LA 71459 |
| Mailing Address |
7223 Mississippi Avenue Bldg. 1561 Fort Polk LA 71459-7804 |
| Practice Telephone | 3375312121 |
| Mailing Telephone | 3375312121 |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2017-08-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 2901022316 | MI | Dental Providers |
| Street Address |
7223 MISSISSIPPI AVENUE BLDG. 1561 |
| City | FORT POLK |
| State | LA |
| Zip Code | 71459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952806986 | Brenda Moore | Dental Hygienist | 7223 Mississippi Ave Building 2157, Fort Polk, LA 71459 | 2018-03-30 |
| 1073017158 | Tiffany Alexander | Dental Assistant | 1561 Mississippi Ave, Ft Polk, LA 71459 | 2018-03-22 |
| 1336663046 | Alexis Caitlyn Stamm | Specialist/Technologist | 5644 Bazydlo Ct, Fort Polk, LA 71459 | 2017-08-03 |
| 1538615893 | Remedios Macan Dondoyano | Physical Therapist | Bayne-jones Army Community Hospital, 1585 3rd St., Attn: Pt Department, Fort Polk, LA 71459 | 2016-08-28 |
| 1306298997 | Roslyn Faulk | Dental Assistant | 7223 Mississippi Avenut, Frot Polk, LA 71459 | 2016-07-07 |
| 1346691888 | Joy Martin | Dental Hygienist | 7223 Mississippi Avenue, Fort Polk, LA 71459 | 2016-06-27 |
| 1255743936 | Aprille Boudreau | Counselor | 5513 B Gardner Dr., Fort Polk, LA 71459 | 2014-05-29 |
| 1407273170 | Mikaela Diana Mcmanus | Physician Assistant | Building 7318 C Ave G, Fort Polk, LA 71459 | 2014-03-19 |
| 1669815429 | Bayne-jones Army Community Hospital | Clinic/Center | 8103 Georgia Avenue, Bldg 3516, Ft Polk, LA 71459 | 2013-04-11 |
| 1912240755 | Taneishia S. Jones | Pediatrics | 1583 3rd Street, Fort Polk, LA 71459 | 2013-03-29 |
| Find all providers in zip 71459 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134452535 | Pamela Chan Kamolpechara | Dentist | 1840 Bell Richard Ave, Bldg 2157, Fort Polk, LA 71459-5407 | 2009-09-16 |
| 1083761811 | Anne Marie Mccartney | Dentist | 7223 Mississippi Ave, Bldg 1561, Fort Polk, LA 71459-5407 | 2007-01-04 |
| 1497285779 | Alex Hradek | Dentist | 1585 3rd St, Fort Polk, LA 71459-5102 | 2017-06-19 |
| 1689007825 | Justice Gerald Sheridan Pilgrim | Dentist | 7223 Mississippi Ave, Fort Polk, LA 71459-5400 | 2013-08-12 |
| 1144574450 | Akeele Ayanna Johnson | Dentist | 7223 Mississippi Ave, Fort Polk, LA 71459-5110 | 2012-11-08 |
| 1316042922 | Joshua Forrest Haden | Dentist | 1585 3rd St, Suite 6119a, Fort Polk, LA 71459-5102 | 2006-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194322925 | E Edward Hood Jr, Dds - Livingston, Pllc | Dentist | 29160 S Frost Rd, Livingston, LA 70754-2620 | 2020-10-05 |
| 1962029934 | Abisola Jegede | Dentist | 3411 Nelson Rd Ste 100, Lake Charles, LA 70605-1240 | 2020-06-25 |
| 1932724572 | Jason Allen Simms | Dentist | 5480 Sleepy Hollow Dr, Baton Rouge, LA 70817-2142 | 2020-06-09 |
| 1659995413 | Tami Thuy Nguyen | Dentist | 5220 Lapalco Blvd, Marrero, LA 70072-4248 | 2020-06-07 |
| 1306460001 | Bfd Madisonville Associates LLC | Dentist | 109 Pine Creek Drive, Suite B, Madisonville, LA 70447 | 2020-05-29 |
| 1891317491 | Hood Dental Care | Dentist | 32871 La Highway 16, Denham Springs, LA 70706-0960 | 2020-05-18 |
| 1609415561 | Jacob Dent, D.d.s., Dentists of Mandeville, A Professional Corporation | Dentist | 3421 E Causeway Approach Ste A, Mandeville, LA 70448-3447 | 2019-12-24 |
| 1447896105 | Jacob Dent Dds Dentists of Metairie A Professional Corporation | Dentist | 5201 Veterans Memorial Blvd., Suite A, Metairie, LA 70006 | 2019-11-18 |
| 1457903387 | Brian Steven Goldfarb | Dentist | 3701 Conti St, Apt #3403, New Orleans, LA 70119 | 2019-07-11 |
| 1366004186 | Hunter Brooks | Dentist | 107 Suwanee Rd, Lafayette, LA 70503-6111 | 2019-07-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.