Provider Demographics
NPI:1134407232
Name:SMITH, DARIUS BRANDON (DDS)
Entity type:Individual
Prefix:
First Name:DARIUS
Middle Name:BRANDON
Last Name:SMITH
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26615 OAK RIDGE DR
Mailing Address - Street 2:TEX-DENT, INC
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77380-1968
Mailing Address - Country:US
Mailing Address - Phone:773-495-3395
Mailing Address - Fax:281-296-9509
Practice Address - Street 1:26615 OAK RIDGE DR
Practice Address - Street 2:TEX-DENT, INC
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77380-1968
Practice Address - Country:US
Practice Address - Phone:773-495-3395
Practice Address - Fax:281-296-9509
Is Sole Proprietor?:No
Enumeration Date:2011-07-25
Last Update Date:2012-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX27837122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist