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B KENT SMITH DDS PA NPI 1417244054


NPI Information

NPI: 1417244054
Provider Name: B KENT SMITH DDS PA
Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Organization

Specialization: Customized Equipment

Address:
290 E JOHN CARPENTER FWY
#2700
IRVING, TX
ZIP 75062
Phone: (972) 255-3712
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B KENT SMITH DDS PA is a customized equipment durable medical equipment medical supplies in Irving, TX. B KENT SMITH DDS PA NPI is 1417244054. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

290 E JOHN CARPENTER FWY
#2700
IRVING, TX
ZIP 75062-730
Phone: (972) 255-3712
Fax: (972) 255-5693

The provider's authorized official is Brady Kent Smith .
The authorized official title is Owner and has the following contact phone number (972) 255-3712.

The enumeration date for this NPI number is 7/4/2011 and was last updated on 1/18/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1122300000XDentist14695TEXASNo
2332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11417244054OTHERTEXASMEDICARE PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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