| Smart Dental | |
|
425 W Pine St Raymore MO 64083-9103 | |
| (816) 535-5155 | |
| Not Available |
| Full Name | Smart Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 425 W Pine St, Raymore, Missouri |
| Authorized Official Name and Position | Jerald Hamblin (DDS) |
| Authorized Official Contact | 8165355155 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smart Dental 425 W Pine St Raymore MO 64083-9103 Ph: (816) 535-5155 | Smart Dental 425 W Pine St Raymore MO 64083-9103 Ph: (816) 535-5155 |
| NPI Number | 1063922649 |
|---|---|
| Provider Enumeration Date | 10/09/2017 |
| Last Update Date | 10/09/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063922649 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 011945 (Missouri) | Primary |
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