Healthcare Provider Details

I. General information

NPI: 1629990106
Provider Name (Legal Business Name): ACCENT DENTAL FORT SCOTT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

204 STATE ST
FORT SCOTT KS
66701-2031
US

IV. Provider business mailing address

204 STATE ST
FORT SCOTT KS
66701-2031
US

V. Phone/Fax

Practice location:
  • Phone: 620-223-0130
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. HARRISON SMITH
Title or Position: DENTIST
Credential: DDS
Phone: 913-940-1015