Provider Demographics
NPI:1699117887
Name:ANDREW T SMITH DDS PLLC
Entity type:Organization
Organization Name:ANDREW T SMITH DDS PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:T
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:303-770-3300
Mailing Address - Street 1:8400 E PRENTICE AVE STE 804
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-2920
Mailing Address - Country:US
Mailing Address - Phone:303-770-3300
Mailing Address - Fax:303-804-0500
Practice Address - Street 1:8400 E PRENTICE AVE STE 804
Practice Address - Street 2:
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-2920
Practice Address - Country:US
Practice Address - Phone:303-770-3300
Practice Address - Fax:303-804-0500
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRONT RANGE DENTAL SLEEP MEDICINE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-07-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty