| B Kent Smith Dds Pa | |
|
5477 Glen Lakes Dr Ste 100 Dallas TX 75231-4381 | |
| (844) 409-4657 | |
| Not Available |
| Full Name | B Kent Smith Dds Pa |
|---|---|
| Speciality | Dentist |
| Location | 5477 Glen Lakes Dr Ste 100, Dallas, Texas |
| Authorized Official Name and Position | Brady Kent Smith (OWNER) |
| Authorized Official Contact | 8444094657 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| B Kent Smith Dds Pa 3800 Gaylord Pkwy Ste 1190 Frisco TX 75034-9418 Ph: () - | B Kent Smith Dds Pa 5477 Glen Lakes Dr Ste 100 Dallas TX 75231-4381 Ph: (844) 409-4657 |
| NPI Number | 1679267702 |
|---|---|
| Provider Enumeration Date | 06/02/2023 |
| Last Update Date | 06/02/2023 |
| Medicare PECOS PAC ID | 3375713662 |
|---|---|
| Medicare Enrollment ID | O20231214002962 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679267702 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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