MEDICARE: SMITH CENTER DENTAL CLINIC

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	261QD0000X	Dental Clinic/Center		KS

General Provider Information

NPI Number	:	1841442597
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SMITH CENTER DENTAL CLINIC

Provider Business Mailing Address
First Line	:	130 W KANSAS AVE
Second Line	:
City	:	SMITH CENTER
State	:	KS
Zip	:	66967-2013
Country	:	US
Telephone Number	:	785-282-6979
Fax Number	:	785-282-3068

Provider Business Practice Location Address
First Line	:	130 W KANSAS AVE
Second Line	:
City	:	SMITH CENTER
State	:	KS
Zip	:	66967-2013
Country	:	US
Telephone Number	:	785-282-6979
Fax Number	:	785-282-3068

Authorized Official
Title or Position	:	OWNER
Name	:	DR. GARY L FREDRICKSON
Credential	:	MDM
Telephone Number	:	785-282-6979

Provider Enumeration Date	:	10/14/2008
Last Update Date	:	10/14/2008

Similar Medicare Providers

1518959295 — DR. BONNIE JEAN LEES MD
Practice Location Address:

8200 DODGE STREET , CHILDREN'S HOSPITAL & MEDICARE CENTER
OMAHA, NE
68114-4113

Practice Phone: 402-955-6140
Practice Fax: 402-955-3398

1689699126 — DR. TODD KUEBLER D.C.
Practice Location Address:

114 W KANSAS AVE
SMITH CENTER, KS
66967-2013

Practice Phone: 785-232-2499
Practice Fax:

1235391095 — SMITH CENTER DENTAL CLINIC
Practice Location Address:

130 W KANSAS AVE
SMITH CENTER, KS
66967-2013

Practice Phone: 785-282-6979
Practice Fax: 785-282-3068

1689049116 — CHAD J THOMPSON OD CHARTERED
Practice Location Address:

128 W KANSAS AVE
SMITH CENTER, KS
66967-2013

Practice Phone: 785-282-6086
Practice Fax: 785-282-3978

1225258460 — SMITH COUNTY COURTHOUSE
Practice Location Address:

914 E HWY 36
SMITH CENTER, KS
66967

Practice Phone: 785-282-6924
Practice Fax: 785-282-6564

1598762189 — INFINIA AT SMITH CENTER
Practice Location Address:

117 W 1ST ST
SMITH CENTER, KS
66967-2005

Practice Phone: 785-282-6696
Practice Fax: 785-282-3895

Directions to “SMITH CENTER DENTAL CLINIC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.