Provider Demographics
NPI:1740482892
Name:SMITH, KARA ESTELLE (DDS,MSD)
Entity type:Individual
Prefix:DR
First Name:KARA
Middle Name:ESTELLE
Last Name:SMITH
Suffix:
Gender:F
Credentials:DDS,MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:298 SOUTH 10TH STREET
Mailing Address - Street 2:SUITE 100
Mailing Address - City:NOBLESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46060-2741
Mailing Address - Country:US
Mailing Address - Phone:317-770-6600
Mailing Address - Fax:317-219-0045
Practice Address - Street 1:298 SOUTH 10TH STREET
Practice Address - Street 2:SUITE 100
Practice Address - City:NOBLESVILLE
Practice Address - State:IN
Practice Address - Zip Code:46060-2741
Practice Address - Country:US
Practice Address - Phone:317-770-6600
Practice Address - Fax:317-219-0045
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-01
Last Update Date:2010-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12010306A1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics