Provider Demographics
NPI:1912992843
Name:SMITH, DANIEL F (MD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:F
Last Name:SMITH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:9601 BAPTIST HEALTH DR.
Mailing Address - Street 2:SUITE 690
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-6328
Mailing Address - Country:US
Mailing Address - Phone:501-227-8422
Mailing Address - Fax:501-537-2399
Practice Address - Street 1:1416 W 43RD AVE
Practice Address - Street 2:
Practice Address - City:PINE BLUFF
Practice Address - State:AR
Practice Address - Zip Code:71603-7010
Practice Address - Country:US
Practice Address - Phone:870-535-7477
Practice Address - Fax:870-535-4121
Is Sole Proprietor?:No
Enumeration Date:2005-09-16
Last Update Date:2024-02-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXL1754207N00000X
ARE1486207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR132106001Medicaid
AR5K550Medicare PIN
G56080Medicare UPIN