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Shane B Smith, DDS
General Practice Dentistry in Yakima, Washington
NPI 1952499790

Shane B Smith is a General Practice Dentistry based in Yakima, WA and is specialized in General Practice. Shane B Smith practices in Yakima, WA and has the professional credentials of DDS. The NPI Number for Shane B Smith is 1952499790 and holds a License No. 8412 (Washington).

The current practice location address for Shane B Smith is 1501 S 40Th Ave, Yakima, WA and can be reached out via phone at 509-577-8277 and via fax at 509-573-4858.

Location: 1501 S 40Th Ave, Yakima, WA, 98908-3963
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952499790
Provider Name
Shane B Smith
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1501 S 40Th Ave, Yakima, WA, 98908-3963
Phone Number
509-577-8277
Fax Number
509-573-4858
Provider Enumeration Date
10/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0157861 01 WA LABOR & INDUSTRIES
92560941 01 WA TPIN
1361168 01 WA UNITED CONCORDIA
8931059 01 WA CRIME VICTIMS
8412 01 WA STATE LICENSE
5031547 05 WA
institution
Provider Business Practice Location Address Details
Address
1501 S 40Th Ave
City
Yakima
State
Washington
Zip
98908-3963
Phone Number
509-577-8277
Fax Number
509-573-4858
person
Provider Business Mailing Address Details
Address
1501 S 40Th Ave
City
Yakima
State
Washington
Zip
98908-3963
Phone Number
509-577-8277
Fax Number
509-573-4858
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
8412 (Washington)
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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