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NPI Code Detail

MEDICARE: B KENT SMITH DDS PA

MEDICARE: B KENT SMITH DDS PA
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
1122300000XDentist
2332BC3200XCustomized Equipment (DME)

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11417244054OTHERTXMEDICAREPTAN

General Provider Information

NPI Number : 1689534778
Entity Type Code : Organization
Provider Name (Legal Business Name) : B KENT SMITH DDS PA
Provider Business Mailing Address
First Line : 3800 GAYLORD PKWY STE 1190
Second Line :
City : FRISCO
State : TX
Zip : 75034-9418
Country : US
Telephone Number : 844-409-4657
Fax Number : 214-614-4277
Provider Business Practice Location Address
First Line : 409 CENTRAL PARK DR
Second Line :
City : ARLINGTON
State : TX
Zip : 76014-2069
Country : US
Telephone Number : 844-409-4657
Fax Number : 214-614-4277
Authorized Official
Title or Position : OWNER
Name : DR. BRADY KENT SMITH
Credential : DDS
Telephone Number : 972-255-3712
Provider Enumeration Date : 11/12/2025
Last Update Date : 04/16/2026

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Directions to “B KENT SMITH DDS PA ” Practice Location

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