Provider Demographics
NPI:1356484364
Name:BEN L SMITH DDS PC
Entity Type:Organization
Organization Name:BEN L SMITH DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BEN
Authorized Official - Middle Name:L
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:940-458-7441
Mailing Address - Street 1:PO BOX 898
Mailing Address - Street 2:
Mailing Address - City:SANGER
Mailing Address - State:TX
Mailing Address - Zip Code:76266-0898
Mailing Address - Country:US
Mailing Address - Phone:940-458-7441
Mailing Address - Fax:940-458-7286
Practice Address - Street 1:107 SOUTH STEMMONS
Practice Address - Street 2:
Practice Address - City:SANGER
Practice Address - State:TX
Practice Address - Zip Code:76266-0898
Practice Address - Country:US
Practice Address - Phone:940-458-7441
Practice Address - Fax:940-458-7286
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX104521223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty