Smiles Dental Group, Pc
May also be knows as Smiles Dental Group, Pc Wa
Legal Business Name
Smiles Dental Group, Pc
Also Known As
Smiles Dental Group, Pc Wa
NPI Number
1285093385
NPI Type
Organization
Enumeration Date
02/17/2016
Specialties
(Taxonomies)Name
Code
126800000X
124Q00000X
1223D0004X
122400000X
1223E0200X
1223G0001X
1223X0400X
1223P0300X
1223P0700X
Primary Taxonomy
No
No
No
No
No
No
No
No
No
Contact
Information
Purpose
Mailing
Location
Address
900 FIR ST
820 OCEAN BEACH HWY
City
Longview
Longview
State
WA
WA
Postal Code
98632-2544
98632-4080
Country
US
US
Telephone Number
(360) 261-6094
(360) 261-6094
Authorized Official
Name
Dr. Fredrick Thompson
Title or Position
CHIEF DENTAL OFFICER
Telephone Number
(503) 332-8646
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 05/26/2022