Dr Kandis Alexis Smith, DMD, MA - Medicare Dentist in Roxbury, MA

Dr Kandis Alexis Smith, DMD, MA is a medicare enrolled "Dentist" provider in Roxbury, Massachusetts. Her current practice location is 435 Warren St, Roxbury, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (617) 442-7400.

Dr Kandis Alexis Smith is licensed to practice in Massachusetts (license number DN1856022) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1215290754.

Contact Information

Dr Kandis Alexis Smith, DMD, MA
435 Warren St,
Roxbury, MA 02119-1833
(617) 442-7400
Not Available



Healthcare Provider's Profile

Full NameDr Kandis Alexis Smith
GenderFemale
SpecialityDentist
Location435 Warren St, Roxbury, Massachusetts
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1215290754
  • Provider Enumeration Date: 06/20/2012
  • Last Update Date: 11/13/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 9638477003
  • Enrollment ID: I20160419000439

Medical Identifiers

Medical identifiers for Dr Kandis Alexis Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215290754NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist DN1856022 (Massachusetts)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kandis Alexis Smith is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Kandis Alexis Smith, DMD, MA
6 Centre St, Apt 1,
Roxbury, MA 02119-1510

Ph: (510) 332-1627
Dr Kandis Alexis Smith, DMD, MA
435 Warren St,
Roxbury, MA 02119-1833

Ph: (617) 442-7400

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› Verified 4 days ago


Dentist in Roxbury, MA

Susana Tejada, D.M.D.
Dentist
Medicare: Medicare Enrolled
Practice Location: 45 Dimock St, Roxbury, MA 02119
Phone: 617-442-8800    Fax: 617-442-4088
Kathryn Stahlhuth Holthaus, D.D.S
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2181 Washington St, Roxbury, MA 02119
Phone: 617-606-3049    
Shaina Immaculee Henriquez,
Dentist
Medicare: Medicare Enrolled
Practice Location: 45 Dimock St, Roxbury, MA 02119
Phone: 617-442-8800    Fax: 617-541-0950
Dr. Paritosh Amburle, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 3033 Washington St, Roxbury, MA 02119
Phone: 617-541-2200    
Joyce S Gitangu, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2181 Washington St, 101, Roxbury, MA 02119
Phone: 617-427-5665    
Anna Pietrantoni, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 3033 Washington St, Roxbury, MA 02119
Phone: 617-541-2200    
Shireen Khan, DMD
Dentist
Medicare: Medicare Enrolled
Practice Location: 45 Dimock St, Roxbury, MA 02119
Phone: 617-442-8800    Fax: 617-541-0950

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