OrganizationActive
Samuel M Smith DMD PHD PC
NPI 1174791990 · Dentist · Centralia, IL
Samuel M Smith DMD PHD PC is a Dentist organization in Centralia, IL (NPI 1174791990).
Provider details
- NPI number
- 1174791990
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Samuel Smith, Owner(618) 532-1879
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1519 East Mccord St
Centralia, IL 62801
Phone: (618) 532-1879
Fax: (618) 532-0479
Street-level locationGet directions
Mailing address
1519 East Mccord St
Centralia, IL 62801
Registry dates
- Enumerated
- 2008-02-14
- Last updated
- 2008-02-14
Frequently asked questions
- What is Samuel M Smith DMD PHD PC's NPI number?
- Samuel M Smith DMD PHD PC's National Provider Identifier (NPI) is 1174791990, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Samuel M Smith DMD PHD PC?
- Samuel M Smith DMD PHD PC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Samuel M Smith DMD PHD PC located?
- Samuel M Smith DMD PHD PC's practice location on file with NPPES is 1519 East Mccord St, Centralia, IL 62801.
- What is Samuel M Smith DMD PHD PC's phone number?
- The practice phone number listed in the NPPES registry for Samuel M Smith DMD PHD PC is (618) 532-1879.
- Who is the authorized official for Samuel M Smith DMD PHD PC?
- The authorized official listed on Samuel M Smith DMD PHD PC's NPPES record is Samuel Smith, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Samuel M Smith DMD PHD PC's NPI active?
- Yes — Samuel M Smith DMD PHD PC's NPI (1174791990) is active in the NPPES registry as of the last update on 2008-02-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.