SMART DENTAL NPI 1063922649

NPI Information

  • NPI: 1063922649
  • Provider Name: SMART DENTAL
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Doing Business As: SMART DENTAL
  • Address: 425 W PINE ST
    RAYMORE, MO
    ZIP 64083
  • Phone: (816) 535-5155

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NPI Details

SMART DENTAL is a dental clinic center in Raymore, MO. SMART DENTAL NPI is 1063922649. The provider is registered as an organization entity type.
The provider Is Doing Business As Smart Dental.

The provider's business location address is:

425 W PINE ST
RAYMORE, MO
ZIP 64083-103
Phone: (816) 535-5155

The provider's authorized official is Jerald Hamblin .
The authorized official title is Dds and has the following contact phone number (816) 535-5155.

The enumeration date for this NPI number is 10/9/2017 and was last updated on 10/9/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDental011945MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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