Dr Kyle Russel Smith, DDS in Maple Grove, MN - Medicare Dentist Provider

Dr Kyle Russel Smith, DDS is a medicare enrolled "Dentist" provider in Maple Grove, Minnesota. His current practice location is 7270 Forestview Ln N, #250, Maple Grove, Minnesota. You can reach out to his office (for appointments etc.) via phone at (763) 424-9202.

Dr Kyle Russel Smith is licensed to practice in Minnesota (license number D13412) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1437562329.

Contact Information

	Dr Kyle Russel Smith, DDS
	7270 Forestview Ln N, #250, Maple Grove, MN 55369-5546
	(763) 424-9202
	Not Available

Healthcare Provider's Profile

Full Name	Dr Kyle Russel Smith
Gender	Male
Speciality	Dentist
Location	7270 Forestview Ln N, Maple Grove, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437562329
Provider Enumeration Date: 06/09/2014
Last Update Date: 12/07/2015

Medicare PECOS Information:

PECOS PAC ID: 5294056420
Enrollment ID: I20150530000251

Medical Identifiers

Medical identifiers for Dr Kyle Russel Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437562329	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	D13412 (Minnesota)	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 Kyle Russel 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 Address	Practice Location Address
Dr Kyle Russel Smith, DDS 7270 Forestview Ln N, #250, Maple Grove, MN 55369-5546 Ph: (763) 424-9202	Dr Kyle Russel Smith, DDS 7270 Forestview Ln N, #250, Maple Grove, MN 55369-5546 Ph: (763) 424-9202

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Dentist in Maple Grove, MN

Hannah Moran, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 10182 Lancaster Ln N, Maple Grove, MN 55369 Phone: 773-384-3500
Dr. Richard William Topel, DDS Dentist Medicare: Medicare Enrolled Practice Location: 12736 Bass Lake Rd, Maple Grove, MN 55369 Phone: 763-559-2082
Dr. Paul M Hobday, DDS, MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6810 Hemlock Ln N, Maple Grove, MN 55369 Phone: 763-425-9888 Fax: 763-425-9835
Dr. James Michael Healy, DDS Dentist Medicare: Medicare Enrolled Practice Location: 15785 95th Ave N, Maple Grove, MN 55369 Phone: 763-420-5484 Fax: 763-420-5875
Dr. Scott Kottemann, Dentist Medicare: Not Enrolled in Medicare Practice Location: 13998 Maple Knoll Way, Suite 102, Maple Grove, MN 55369 Phone: 763-420-6834
Jonathan Gee Hin Wong, Dentist Medicare: Not Enrolled in Medicare Practice Location: 7200 Hemlock Ln N Ste 105, Maple Grove, MN 55369 Phone: 763-424-4415
Dr. Shruti Jagannathan, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 11301 Fountains Dr, Maple Grove, MN 55369 Phone: 763-762-7177

Dr Kyle Russel Smith, DDS - Medicare Dentist in Maple Grove, MN