Individual
DR. NICHOLAS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3901 S BOLGER RD, INDEPENDENCE, MO 64055-6779
(816) 708-3760
Mailing address
2107 GRAND BLVD APT 909, KANSAS CITY, MO 64108-1880
(785) 231-8047
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2022025258
MO
Other
Enumeration date
07/05/2022
Last updated
07/05/2022
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