Healthcare Provider Details

I. General information

NPI: 1851187488
Provider Name (Legal Business Name): B KENT SMITH DDS PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2025
Last Update Date: 04/18/2025
Certification Date: 04/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2443 S GALVESTON AVE
PEARLAND TX
77581-4222
US

IV. Provider business mailing address

PO BOX 50006
DENTON TX
76206-0006
US

V. Phone/Fax

Practice location:
  • Phone: 844-409-4657
  • Fax: 214-614-4277
Mailing address:
  • Phone: 844-409-4657
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: NIKEYIA BRAXTON
Title or Position: ADVOCACY DIRECTOR
Credential:
Phone: 844-409-4657