Provider Demographics
NPI:1841719655
Name:SMITH, KATIE BEMIS (DDS, MSD)
Entity type:Individual
Prefix:DR
First Name:KATIE
Middle Name:BEMIS
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 1:6218 HIGHWAY 6 STE C
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-3845
Mailing Address - Country:US
Mailing Address - Phone:281-403-5599
Mailing Address - Fax:
Practice Address - Street 1:6218 HIGHWAY 6 STE C
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-3845
Practice Address - Country:US
Practice Address - Phone:281-403-5599
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-12
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX327481223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics