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Organization
B KENT SMITH DDS PA
Active
Organization
B KENT SMITH DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADY KENT SMITH D.D.S. (OWNER)
(972) 255-3712
Entity
Organization
Contact information
Practice address
6031 CONNECTION DR STE 100, IRVING, TX 75039-2604
(844) 409-4657
(972) 255-5693
Mailing address
290 E JOHN CARPENTER FWY, #2700, IRVING, TX 75062-2730
(972) 255-3712
(972) 255-5693
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
14695
TX
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417244054
MEDICARE PTAN
TX
Enumeration date
07/04/2011
Last updated
05/22/2025
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