Organization
BRADLEY J. SMITH D.D.S. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY JOSEPH SMITH D.D.S (PRESIDENT)
(816) 524-4880
Entity
Organization
Contact information
Practice address
238 NE TUDOR RD, LEES SUMMIT, MO 64086-5696
(816) 524-4880
(816) 524-2868
Mailing address
238 NE TUDOR RD, LEES SUMMIT, MO 64086-5696
(816) 524-4880
(816) 524-2868
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15223
MO
Other
Enumeration date
03/15/2007
Last updated
08/22/2020
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