Provider Demographics
NPI:1073608097
Name:CARR & SMITH DENTAL PLLC
Entity Type:Organization
Organization Name:CARR & SMITH DENTAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:512-345-0399
Mailing Address - Street 1:7007 HART LN
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-3018
Mailing Address - Country:US
Mailing Address - Phone:512-345-0399
Mailing Address - Fax:512-345-5890
Practice Address - Street 1:7007 HART LN
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-3018
Practice Address - Country:US
Practice Address - Phone:512-345-0399
Practice Address - Fax:512-345-5890
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2008-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty