Mr Justen Brent Smith, DDS is a medicare enrolled "Dentist" provider in Sperry, Oklahoma. His current practice location is
5031 E 116th St N, Sperry, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(918) 288-7695.
Mr Justen Brent Smith is licensed to practice in Oklahoma (license number 4183) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1124126263.
Healthcare Provider's Profile
Full Name | Mr Justen Brent Smith |
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Gender | Male |
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Speciality | Dentist |
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Location | 5031 E 116th St N, Sperry, Oklahoma |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1124126263
- Provider Enumeration Date: 09/20/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 6204139553
- Enrollment ID: I20160121000450
Medical Identifiers
Medical identifiers for Mr Justen Brent Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124126263 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 4183 (Oklahoma) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Justen Brent Smith is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Justen Brent Smith, DDS 5031 E 116th St N, Sperry, OK 74073-4199 Ph: (918) 288-7695 | Mr Justen Brent Smith, DDS 5031 E 116th St N, Sperry, OK 74073-4199 Ph: (918) 288-7695 |
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