Organization · Type 2 NPI

Grant R Smith DDS PA

Dental Clinic/Center · Prairie Village, KS

NPI number 1174177281 Active

Practice location

3700 W 83rd St Ste 111
Prairie Village, KS 66208-5120

Call (913) 659-5600 Map

Mailing address

PO Box 3000
Salem, OR 97302-8001

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

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About NPI 1174177281

Grant R Smith DDS PA's National Provider Identifier is 1174177281, issued on Jul 26, 2019. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Prairie Village, KS. The record was last updated on Jul 26, 2019.