# SMILES DENTAL GROUP, PC

> 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:** SMILES DENTAL GROUP, PC WA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285093385
- **Authorized official:** DR. FREDRICK C THOMPSON D.M.D. (CHIEF DENTAL OFFICER)
- **Authorized official phone:** (503) 332-8646

## Contact information

- **Practice address:** 820 OCEAN BEACH HWY, SUITE 110, LONGVIEW, WA 98632-4080
- **Practice address phone:** (360) 261-6094
- **Practice address fax:** (360) 423-3343
- **Mailing address:** 900 FIR ST, SUITE 1D, LONGVIEW, WA 98632-2544
- **Mailing address phone:** (360) 261-6094
- **Mailing address fax:** (360) 423-3343

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |
| 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