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Organization
SMILES DENTAL GROUP, PC
Active
Organization
SMILES DENTAL GROUP, PC
Active
Other names
SMILES DENTAL GROUP, PC WA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDRICK C THOMPSON D.M.D. (CHIEF DENTAL OFFICER)
(503) 332-8646
Entity
Organization
Contact information
Practice address
820 OCEAN BEACH HWY, SUITE 110, LONGVIEW, WA 98632-4080
(360) 261-6094
(360) 423-3343
Mailing address
900 FIR ST, SUITE 1D, LONGVIEW, WA 98632-2544
(360) 261-6094
(360) 423-3343
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NULL
122300000X
Dentist
Primary
—
—
1223D0004X
Dental Anesthesiology
—
NULL
1223D0004X
Dental Anesthesiology
—
—
1223E0200X
Endodontics
—
NULL
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
—
NULL
1223G0001X
General Practice Dentistry
—
—
1223P0300X
Periodontics
—
NULL
1223P0300X
Periodontics
—
—
1223P0700X
Prosthodontics
—
NULL
1223P0700X
Prosthodontics
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
NULL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
122400000X
Denturist
—
NULL
122400000X
Denturist
—
—
124Q00000X
Dental Hygienist
—
NULL
124Q00000X
Dental Hygienist
—
—
126800000X
Dental Assistant
—
NULL
126800000X
Dental Assistant
—
—
Other
Enumeration date
02/17/2016
Last updated
05/26/2022
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