| B Kent Smith Dds Pa | |
|
1700 Coit Rd Ste 110 Plano TX 75075-6138 | |
| (844) 409-4657 | |
| Not Available |
| Full Name | B Kent Smith Dds Pa |
|---|---|
| Speciality | Dentist |
| Location | 1700 Coit Rd Ste 110, Plano, 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: (844) 409-4657 | B Kent Smith Dds Pa 1700 Coit Rd Ste 110 Plano TX 75075-6138 Ph: (844) 409-4657 |
| NPI Number | 1205520343 |
|---|---|
| Provider Enumeration Date | 06/02/2023 |
| Last Update Date | 06/02/2023 |
| Medicare PECOS PAC ID | 3375713662 |
|---|---|
| Medicare Enrollment ID | O20240321001637 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205520343 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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