| Scott R. Smith Dds.,pc | |
|
770 Riverside Ave Suite #201 Adrian MI 49221-1476 | |
| (517) 265-5577 | |
| (517) 265-8068 |
| Full Name | Scott R. Smith Dds.,pc |
|---|---|
| Speciality | Dentist |
| Location | 770 Riverside Ave, Adrian, Michigan |
| Authorized Official Name and Position | Scott Raymond Smith (PRESIDENT) |
| Authorized Official Contact | 5172655577 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Scott R. Smith Dds.,pc 770 Riverside Ave Suite #201 Adrian MI 49221-1476 Ph: (517) 265-5577 | Scott R. Smith Dds.,pc 770 Riverside Ave Suite #201 Adrian MI 49221-1476 Ph: (517) 265-5577 |
| NPI Number | 1609011311 |
|---|---|
| Provider Enumeration Date | 12/09/2008 |
| Last Update Date | 06/17/2024 |
| Certification Date | 06/17/2024 |
| Medicare PECOS PAC ID | 7618235201 |
|---|---|
| Medicare Enrollment ID | O20180103003332 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609011311 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12556 () | Primary |
| Provider Name | Scott R Smith |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1154324002 PECOS PAC ID: 0446218473 Enrollment ID: I20041222000419 |
Brilliant Smiles Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 113 W Front St, Adrian, MI 49221 Phone: 517-263-3400 Fax: 517-263-4027 |
John a Lark DDS PC Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1136 Country Club Rd, Suite B, Adrian, MI 49221 Phone: 517-263-9022 Fax: 517-263-9155 |
Michael P Towler DDS PC Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 133 E Maple Ave, Adrian, MI 49221 Phone: 517-265-7411 Fax: 517-263-1050 |
Gary a Blaesing DDS PC Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1548 W Maumee, Suite A, Adrian, MI 49221 Phone: 517-265-7288 Fax: 517-266-8408 |
Painless Dentistry V LLC Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 160 N Winter St, Adrian, MI 49221 Phone: 734-234-6066 |
Richard B. Youngs,dds,pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 133 E Maple Ave, Adrian, MI 49221 Phone: 517-265-7411 Fax: 517-263-1050 |