Justin Richard Smith in Camano Island - Pediatric Dentistry
Justin Richard Smith - NPI 1235346594
Justin Richard Smith is a Pediatric Dentistry in Camano Island, Washington. Justin Richard Smith practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Justin Richard Smith is 1235346594. The last update date is 2008-05-20.
Justin Richard Smith's current location address is 360 Alder St, Camano Island, Washington. You can contact this provider via phone number 3606571650 and fax number 3606571502. The mailing address for Justin Richard Smith is 360 Alder St, Camano Island, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Justin Richard Smith |
|---|---|
| Address | 360 Alder St, Camano Island, Washington |
| Phone Number | 3606571650 |
| Fax Number | 3606571502 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1235346594 |
|---|---|
| Provider Enumeration Date | 2007-05-17 |
| Last Updated Date | 2008-05-20 |
Provider Mailing Address Detail
| Address | 360 Alder St |
|---|---|
| City | Camano Island |
| State | Washington (WA) |
| Post Code | 982828672 |
| Phone Number | 3606571650 |
| Fax Number | 3606571502 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | DE 10914 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5054846 | WA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Justin Richard Smith by the Centers for Medicare & Medicaid Services?
The Justin Richard Smith has been assigned the NPI (National Provider Identifier) 1235346594 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Justin Richard Smith's physical address?
The Justin Richard Smith is physically located at 360 Alder St, in the city of Camano Island, WA, with the postal code 982828672.
What is the area of specialization for Justin Richard Smith, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Justin Richard Smith is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of expertise is 1223P0221X.
On what date did Justin Richard Smith receive its 1235346594 assignment from the Centers for Medicare & Medicaid Services?
The Justin Richard Smith was assigned its 1235346594 on 2007-05-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Justin Richard Smith, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Justin Richard Smith, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-05-20.