B Kent Smith Dds Pa | |
6031 Connection Dr Ste 100 Irving TX 75039-2604 | |
(844) 409-4657 | |
(972) 255-5693 |
Full Name | B Kent Smith Dds Pa |
---|---|
Speciality | Durable Medical Equipment & Medical Supplies |
Location | 6031 Connection Dr Ste 100, Irving, Texas |
Authorized Official Name and Position | Brady Kent Smith (OWNER) |
Authorized Official Contact | 9722553712 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
B Kent Smith Dds Pa 290 E John Carpenter Fwy #2700 Irving TX 75062-2730 Ph: (972) 255-3712 | B Kent Smith Dds Pa 6031 Connection Dr Ste 100 Irving TX 75039-2604 Ph: (844) 409-4657 |
NPI Number | 1417244054 |
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Provider Enumeration Date | 07/04/2011 |
Last Update Date | 05/22/2025 |
Medicare PECOS PAC ID | 3375713662 |
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Medicare Enrollment ID | O20110824000031 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417244054 | NPI | - | NPPES |
1417244054 | Other | TX | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 14695 (Texas) | Secondary |
332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Primary |
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