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NPI Code Detail

MEDICARE: B KENT SMITH DDS PA

MEDICARE: B KENT SMITH DDS PA
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
1122300000XDentist
2332BC3200XCustomized Equipment (DME)

General Provider Information

NPI Number : 1780482968
Entity Type Code : Organization
Provider Name (Legal Business Name) : B KENT SMITH DDS PA
Provider Business Mailing Address
First Line : PO BOX 50006
Second Line :
City : DENTON
State : TX
Zip : 76206-0006
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 203 E DEBBIE LN
Second Line :
City : MANSFIELD
State : TX
Zip : 76063-2924
Country : US
Telephone Number : 844-409-4657
Fax Number : 214-614-4277
Authorized Official
Title or Position : DIRECTOR OF PATIENT ADVOCACY
Name : NIKEYIA BRAXTON
Credential :
Telephone Number : 844-409-4657
Provider Enumeration Date : 03/04/2025
Last Update Date : 06/16/2026

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Directions to “B KENT SMITH DDS PA ” Practice Location

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