Provider Demographics
NPI:1851187488
Name:B KENT SMITH DDS PA
Entity type:Organization
Organization Name:B KENT SMITH DDS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADVOCACY DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NIKEYIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BRAXTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:844-409-4657
Mailing Address - Street 1:PO BOX 50006
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76206-0006
Mailing Address - Country:US
Mailing Address - Phone:844-409-4657
Mailing Address - Fax:
Practice Address - Street 1:2443 S GALVESTON AVE
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77581-4222
Practice Address - Country:US
Practice Address - Phone:844-409-4657
Practice Address - Fax:214-614-4277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-18
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty