Shane B Smith is a General Practice in Yakima, Washington. Shane B Smith practices all healthcare services and medical treatments related to General Practice. The NPI Number for Shane B Smith is 1952499790. The last update date is 2023-03-07.
Shane B Smith's current location address is 1501 S 40th Ave, Yakima, Washington. You can contact this provider via phone number 5095778277 and fax number 5095734858. The mailing address for Shane B Smith is 1501 S 40th Ave, Yakima, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shane B Smith |
|---|---|
| Address | 1501 S 40th Ave, Yakima, Washington |
| Phone Number | 5095778277 |
| Fax Number | 5095734858 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1952499790 |
|---|---|
| Provider Enumeration Date | 2006-10-10 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 1501 S 40th Ave |
|---|---|
| City | Yakima |
| State | Washington (WA) |
| Post Code | 989083963 |
| Phone Number | 5095778277 |
| Fax Number | 5095734858 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 8412 |
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Definition: 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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 157861 | WA | LABOR & INDUSTRIES | |
| 92560941 | WA | TPIN | |
| 1361168 | WA | UNITED CONCORDIA | |
| 8931059 | WA | CRIME VICTIMS | |
| 8412 | WA | STATE LICENSE | |
| 5031547 | WA | -- |
Post Comment/ Review Below
What is the Shane B Smith's unique identification number?
The Shane B Smith has been assigned the NPI (National Provider Identifier) Number 1952499790 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Shane B Smith located?
The Shane B Smith is located at 1501 S 40Th Ave, Yakima, WA 989083963.
What is the Shane B Smith's specialty and taxonomy code?
The Shane B Smith's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services assign the 1952499790 to Shane B Smith?
The Centers for Medicare & Medicaid Services assigned the 1952499790 to Shane B Smith on 2006-10-10.
When was the information pertaining to Shane B Smith most recently updated or revised?
The details related to Shane B Smith, including its address, specialty, and other relevant information, were last updated or revised on 2023-03-07.
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