# SMART DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Smart Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063922649
- **Authorized official:** JERALD HAMBLIN DDS (DDS)
- **Authorized official phone:** (816) 535-5155

## Contact information

- **Practice address:** 425 W PINE ST, RAYMORE, MO 64083-9103
- **Practice address phone:** (816) 535-5155
- **Mailing address:** 425 W PINE ST, RAYMORE, MO 64083-9103
- **Mailing address phone:** (816) 535-5155

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 011945 | MO | Yes |

## Other

- **Enumeration date:** 10/09/2017
- **Last updated:** 10/09/2017