MEDICARE: DR. GREGORY DEAN SMITH D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	DR.0026559	CO

General Provider Information

NPI Number	:	1437270006
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GREGORY DEAN SMITH D.O.

Provider Business Mailing Address
First Line	:	140 SUGAR PLUM WAY
Second Line	:
City	:	CASTLE ROCK
State	:	CO
Zip	:	80104-2741
Country	:	US
Telephone Number	:	303-912-3040
Fax Number	:

Provider Business Practice Location Address
First Line	:	1745 SHEA CENTER DR
Second Line	:
City	:	HIGHLANDS RANCH
State	:	CO
Zip	:	80129-1537
Country	:	US
Telephone Number	:	205-964-2924
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/02/2007
Last Update Date	:	09/09/2025

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