NPI Code Details Logo

NPI 1851187488

NPI 1851187488 : B KENT SMITH DDS PA : PEARLAND, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1851187488
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    B KENT SMITH DDS PA 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    04/18/2025
-----------------------------------------------------
    Last Update Date     |    04/18/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    2443 S GALVESTON AVE 
-----------------------------------------------------
    City                 |    PEARLAND
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    77581-4222
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    844-409-4657
-----------------------------------------------------
    Fax                  |    214-614-4277
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    PO BOX 50006 
-----------------------------------------------------
    City                 |    DENTON
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    76206-0006
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    844-409-4657
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    ADVOCACY DIRECTOR
-----------------------------------------------------
    Name                 |     NIKEYIA  BRAXTON 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    844-409-4657
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    122300000X
-----------------------------------------------------
    Taxonomy Name        |    Dentist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.