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General NPI Number Information
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NPI Number | 1790101020
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Entity Type | Organization
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Legal Business Name | B KENT SMITH DDS PA
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Dates
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Enumeration Date | 03/11/2014
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Last Update Date | 04/18/2025
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Provider Practice Location Address
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Address Line | 3800 GAYLORD PKWY STE 1190
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City | FRISCO
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State | TX
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Zip | 75034-9416
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Country | US
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Telephone | 844-409-4657
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Fax |
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Provider Business Mailing Address
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Address Line | 3800 GAYLORD PKWY STE 1190
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City | FRISCO
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State | TX
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Zip | 75034-9418
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Country | US
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Telephone | 844-409-4657
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Fax | 214-614-4277
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Authorized Official
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Title or Position | OWNER
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Name | B KENT SMITH
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Credential | DDS
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Telephone | 844-409-4657
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 14695
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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