Smart Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

011945 Issued in MO

Legal business name

SMART DENTAL

Doing business as

Smart Dental

Practice address

425 W Pine St
Raymore, MO 64083-9103

Phone

(816) 535-5155

NPI assigned

Oct 9, 2017

Last updated

Oct 9, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jerald Hamblin, DDS

Title

DDS

Phone

(816) 535-5155

Specialties & licenses 1

Addresses

Other names 1

• Smart Dental Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1507507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507507200000",
    "number": "1063922649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W PINE ST",
            "city": "RAYMORE",
            "state": "MO",
            "postal_code": "640839103",
            "telephone_number": "816-535-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 W PINE ST",
            "city": "RAYMORE",
            "state": "MO",
            "postal_code": "640839103",
            "telephone_number": "816-535-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMART DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-09",
        "last_updated": "2017-10-09",
        "status": "A",
        "authorized_official_last_name": "HAMBLIN",
        "authorized_official_first_name": "JERALD",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "816-535-5155",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MO",
            "license": "011945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smart Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brittany Lynn Semsch, LPC
• Chezeray Shelly, LPC
• Alicia M Shuker, FNP
• Silverstein Dentistry LLC
• Kristin Skinner, PLPC
• David Meade Smith, D.D.S., M.D.
• Jamisha Smith, LPN
• Nickco Rashwan Smith
• South Metropolitan Fire Protection District
• Corey Michael Spriggs, PHARMD

• Dental Clinic/Center in Raymore, MO
• Providers in Raymore, MO by specialty
• Dental Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.