| Richard M. Smith, Dds, Pc | |
|
3611 S Georgia St Amarillo TX 79109-4847 | |
| (806) 353-4361 | |
| (806) 353-4767 |
| Full Name | Richard M. Smith, Dds, Pc |
|---|---|
| Speciality | Dentist |
| Location | 3611 S Georgia St, Amarillo, Texas |
| Authorized Official Name and Position | Richard Madsen Smith (PRESIDENT) |
| Authorized Official Contact | 8063534361 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard M. Smith, Dds, Pc 3611 S Georgia St Amarillo TX 79109-4847 Ph: (806) 353-4361 | Richard M. Smith, Dds, Pc 3611 S Georgia St Amarillo TX 79109-4847 Ph: (806) 353-4361 |
| NPI Number | 1366609075 |
|---|---|
| Provider Enumeration Date | 05/20/2008 |
| Last Update Date | 05/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366609075 | NPI | - | NPPES |
| 1903734-01 | Medicaid | TX | |
| G60178-1 | Other | TX | TEXAS CHIP |
| 0095648-01 | Medicaid | TX | |
| 1023234606 | Other | NPI | |
| 1730305582 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 9826 (Texas) | Secondary |
| 122300000X | Dentist | 21684 (Texas) | Primary |
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