Individual
DR. DENNIS E SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
6314 19TH ST W, #11, FIRCREST, WA 98466-6223
(253) 267-8188
(253) 267-8187
Mailing address
6314 19TH ST W, #11, FIRCREST, WA 98466-6223
(253) 267-8188
(253) 267-8187
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00001762
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32024
STATE LABOR & INDUSTRIES
WA
01
—
350055487
RAILROAD MEDICARE
WA
05
—
8647406
—
WA
01
—
G8852620
MEDICARE PTAN
WA
01
—
SM3685
REGENCE
WA
Enumeration date
07/12/2006
Last updated
07/30/2015
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