MEDICARE: GREGG SMITH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1710803325
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GREGG SMITH

Provider Business Mailing Address
First Line	:	3032 ROSEBUD DR
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59102-6140
Country	:	US
Telephone Number	:	920-850-4135
Fax Number	:

Provider Business Practice Location Address
First Line	:	2212 GRANT RD
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59102-7442
Country	:	US
Telephone Number	:	406-613-7073
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/26/2026
Last Update Date	:	06/26/2026

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Directions to “ GREGG SMITH ” Practice Location

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