Brady Tucker Smith, DDS

General Practice Dentistry · Pueblo, CO

Individual Active NPI

NPI number 1356572036

Practice location

2025 W Us Highway 50
Ste a100
Pueblo, CO 81008-1571
Phone
(719) 542-2472
Fax
(719) 542-6435

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NPI record

NPI
1356572036
Entity type
Individual (Type 1)
Enumeration date
July 29, 2009
Last updated
July 29, 2009
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 9999 CO

About Dr. Smith

Brady Tucker Smith, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 2025 W Us Highway 50, Ste a100, Pueblo, CO 81008-1571. The NPI number 1356572036 was assigned on July 29, 2009 and the record was last updated on July 29, 2009.

Dr. Smith lists a license in the registry: #9999 (CO) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Brady Tucker Smith, DDS?

The NPI number is 1356572036.

What is the phone number of Dr. Smith?

The phone number listed for the practice location is (719) 542-2472.

Where is Dr. Smith located?

2025 W Us Highway 50, Ste a100, Pueblo, CO 81008-1571.

What is the taxonomy code for Dr. Smith?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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