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General NPI Number Information
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NPI Number | 1154554921
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Entity Type | Individual
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Provider Name | GREGORY ROBERTS SMITH D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 08/27/2009
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 7685 MCLAUGHLIN RD STE 100
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City | FALCON
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State | CO
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Zip | 80831-4751
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Country | US
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Telephone | 719-694-1929
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Fax |
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Provider Business Mailing Address
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Address Line | 5572 GREEN RIVER DR
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City | COLORADO SPRINGS
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State | CO
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Zip | 80923-3438
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Country | US
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Telephone | 719-306-5669
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 5498321-9921
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 5498321-8903
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License Number State | UT
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 10083
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License Number State | CO
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