# WASHINGTON DENTAL SERVICE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** SmileMobile
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154631117
- **Authorized official:** MS. LAURA SMITH MPA (CEO)
- **Authorized official phone:** (206) 528-2335

## Contact information

- **Practice address:** 9706 4TH AVE NE, SEATTLE, WA 98115-2157
- **Practice address phone:** (206) 528-2337
- **Practice address fax:** (206) 985-4950
- **Mailing address:** 9706 4TH AVE NE, SEATTLE, WA 98115-2157
- **Mailing address phone:** (206) 528-2337
- **Mailing address fax:** (206) 985-4950

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DE00004485 | WA | Yes |
| 1223G0001X | General Practice Dentistry | DE00005222 | WA | — |
| 1223G0001X | General Practice Dentistry | DE00005252 | WA | — |
| 1223G0001X | General Practice Dentistry | DE00005474 | WA | — |
| 1223G0001X | General Practice Dentistry | DE00006700 | WA | — |
| 1223P0221X | Pediatric Dentistry | DE00005772 | WA | — |

## Other

- **Enumeration date:** 10/08/2010
- **Last updated:** 10/08/2010