DR. BRADY TUCKER SMITH (NPI# 1356572036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356572036 |
| Entity Type | Individual |
| Full Name | DR. BRADY TUCKER SMITH |
| Credential | DDS |
| Practice Address |
2025 W Us Highway 50 Ste A100 Pueblo CO 81008-1571 |
| Practice Telephone | 7195422472 |
| Practice Fax Number | 7195426435 |
| Mailing Telephone | 7195422472 |
| Mailing Fax Number | 7195426435 |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2009-07-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
9999 | CO | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386100956 | Brady Eaton Smith | Physical Therapist | 1471 E Beltline Ave Ne Ste 104, Grand Rapids, MI 49525-4548 | 2019-02-19 |
| 1982128997 | Brady M Smith | Specialist/Technologist | Brigham Young University, 123 Sab, Provo, UT 84602 | 2017-08-01 |
| 1063738268 | Brady Ted Smith | Pharmacist | 530 N 250 W, Salina, UT 84654-5514 | 2010-04-13 |
| 1659418374 | Brady Kent Smith | Dentist | 4301 N Macarthur Blvd, Suite 100, Irving, TX 75038-6416 | 2007-01-31 |
| Street Address |
2025 W US HIGHWAY 50 STE A100 |
| City | PUEBLO |
| State | CO |
| Zip Code | 81008-1571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558560607 | Karleen Laura Trefil | Dentist | 2025 W Us Highway 50, A100, Pueblo, CO 81008-1571 | 2007-07-17 |
| 1104266949 | Sean Richard Mortensen | Dentist | 2025 W Us Highway 50, A100, Pueblo, CO 81008-1571 | 2013-06-25 |
| 1356511406 | Elden Murray Rice | Dentist | 2025 W Us Highway 50, Ste A-100, Pueblo, CO 81008-1571 | 2008-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164058913 | Healthone Clinic Services - Oncology Hematology LLC | Internal Medicine | 3678 Parker Blvd, Pueblo, CO 81008 | 2020-03-12 |
| 1073026423 | Carmel Community Living Corporation | Respite Care | 2003 Northmoor Terrace, Suite 100, Pueblo, CO 81008 | 2017-11-08 |
| 1568987121 | Hannah Vivian Roadruck | Pharmacist | 4200 Dillon Dr., Pueblo, CO 81008 | 2017-08-04 |
| 1184170425 | Brett Burana | Dentist | 729 Us-50, Pueblo, CO 81008 | 2016-08-28 |
| 1760832885 | Irby Dental Cottage | Dental Hygienist | 2099 West St # 50, Suite 180, Pueblo, CO 81008 | 2016-06-20 |
| 1649624362 | Curley Peak Dentistry Pllc | Dentist | 1640 W Fortino Blvd, Pueblo, CO 81008 | 2016-04-19 |
| 1336507847 | Kyle Tipton | Nurse Anesthetist, Certified Registered | 4741 Eagleridge Circle, 206, Pueblo, CO 81008 | 2016-01-29 |
| 1407211931 | Center At Park West, LLC | Skilled Nursing Facility | 3727 Parker Blvd., Pueblo, CO 81008 | 2015-12-29 |
| 1417327461 | Nicole Betts | Registered Nurse | 1310 Fortino Blvd Ste D, Pueblo, CO 81008 | 2015-10-02 |
| 1437578028 | Pueblo Modern Dentistry and Orthodontics, LLP | Dentist | 727 Us Hwy 50 West, Pueblo, CO 81008 | 2014-04-10 |
| Find all providers in zip 81008 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396307849 | Elizabeth Lee Cochran | Dentist | 4130 Redwood Ln Unit 130, Pueblo, CO 81005-3292 | 2019-07-05 |
| 1154879344 | Pdsc PC | Dentist | 2041 Pepper Ln, Pueblo, CO 81005-3276 | 2016-09-15 |
| 1437578028 | Pueblo Modern Dentistry and Orthodontics, LLP | Dentist | 727 Us Hwy 50 West, Pueblo, CO 81008 | 2014-04-10 |
| 1558655928 | Sarah Elizabeth Keen | Dentist | 4104 Outlook Blvd, Pueblo, CO 81008-1670 | 2011-06-03 |
| 1861790792 | Andrew Comerci | Dentist | 1100 Eagleridge Blvd, Pueblo, CO 81008-2103 | 2011-03-01 |
| 1467756627 | Anthony G Oreskovich | Dentist | 1111 Pueblo Boulevard Way, Suite 140, Pueblo, CO 81005-1687 | 2011-01-03 |
| 1033356670 | Park West Dental PC | Dentist | 3470 Parker Blvd, Pueblo, CO 81003 | 2009-01-20 |
| 1942479761 | James Cover D.d.s., PC | Dentist | 2020 S Pueblo Blvd, Pueblo, CO 81005-2546 | 2008-02-26 |
| 1801064928 | Garbiso Dental Care Center | Dentist | 3210 Wedgewood Dr, Pueblo, CO 81005-2398 | 2008-02-11 |
| 1790963957 | Douglas L. Pearson | Dentist | 2225 Norman Ln, Pueblo, CO 81005-3357 | 2008-02-09 |
| Find all providers in PUEBLO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.