David Michael Smith, DDS
Individual provider Active NPI Dentist · Minot Afb, ND
NPI 1235112491 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1235112491
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 3366 (TN)
- Practice address
- 10 Missle Ave
Minot Afb, ND 58705-5003 - Phone
- (701) 723-5557
- Fax
- (701) 723-5555
- NPI assigned
- Nov 22, 2005
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140714000839 | FL | Order and Referring Only - Oral Surgery |
5496970147 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3366 | TN | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 3366 | TN | Yes |
Addresses
Primary practice location
10 Missle Ave
Minot Afb, ND 58705-5003
Mailing address
121 Coral CT
Minot Afb, ND 58704-1319
Phone (701) 727-5424
Other providers in Minot Afb, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.