# ROBERT G. SMITH, DDS, CHTD.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902981319
- **Authorized official:** SHERRY L FADDIS (BUS. MNGR)
- **Authorized official phone:** (913) 649-5600

## Contact information

- **Practice address:** 3700 W 83RD ST, SUITE 103, PRAIRIE VILLAGE, KS 66208-5121
- **Practice address phone:** (913) 649-5600
- **Practice address fax:** (913) 649-2069
- **Mailing address:** 3700 W 83RD ST, SUITE 103, PRAIRIE VILLAGE, KS 66208-5121
- **Mailing address phone:** (913) 649-5600
- **Mailing address fax:** (913) 649-2069

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 4936 | KS | Yes |

## Other

- **Enumeration date:** 10/25/2006
- **Last updated:** 07/25/2008