"Doctor" was his first name. He was not a physician and did not have a doctoral degree.
Sources
"United States Census, 1850," database with images, FamilySearch (https://familysearch.org/ark:/61903/1:1:V5PD-VRZ : 4 April 2020), William Smart in household of John Smart, Wright county, Wright, Missouri, United States; citing family 247, NARA microfilm publication M432 (Washington, D.C.: National Archives and Records Administration, n.d.).
Find A Grave, database and images (https://www.findagrave.com : accessed 08 July 2019), memorial page for Doctor William Smart, Sr (15 Jul 1825–30 Oct 1879), Find A Grave Memorial no. 14320186, citing Smart Cemetery, Andice, Williamson County, Texas, USA ; Maintained by Leslie P. Fowers (contributor 46928696); https://www.findagrave.com/memorial/14320186/doctor-william-smart
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Smart-4010 and Smart-1787 appear to represent the same person because: Hi. I was working my back through my family tree and it looks like I have created a profile that is of the same person as your Smart-1787 profile. 100% certain these are duplicates.
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Mark Fitzgerald Fitzgerald-5688