Doctor Name: | DR. SCOTT D. SMITH |
NPI Number: | 1023115490 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.D.S.,M.S. |
License Number: | 6428 |
Business Practice Address: | 9094 E. Mineral Ave. #240 Centennial, CO - 801127200 |
Business Phone Number: | 3037991872 |
Business Fax Number: | 3037993760 |
Mailing Address: | 9094 E. Mineral Ave., #240 CENTENNIAL |
State: | CO |
Postal Code: | 801127200 |
Phone Number: | 3037991872 |
Fax Number: | 3037993760 |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | 6428 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |