Provider Demographics
NPI:1902297138
Name:SMITH, TAUREAN TRAVAS (DMD)
Entity Type:Individual
Prefix:DR
First Name:TAUREAN
Middle Name:TRAVAS
Last Name:SMITH
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9233 PARK MEADOWS DR
Mailing Address - Street 2:
Mailing Address - City:LONE TREE
Mailing Address - State:CO
Mailing Address - Zip Code:80124-5697
Mailing Address - Country:US
Mailing Address - Phone:801-310-8244
Mailing Address - Fax:
Practice Address - Street 1:9233 PARK MEADOWS DR
Practice Address - Street 2:
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-5697
Practice Address - Country:US
Practice Address - Phone:801-310-8244
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-10
Last Update Date:2021-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UTFS4540046122300000X, 122300000X
CO002046521223D0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223D0004XDental ProvidersDentistDentist Anesthesiologist
No122300000XDental ProvidersDentist