Organization
EDWARDS & SMITH FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY JAMES SMITH DDS (CO-OWNER)
(319) 232-9023
Entity
Organization
Contact information
Practice address
220 W RIDGEWAY SUITE 201, WATERLOO, IA 50701
(319) 232-9023
(319) 232-1610
Mailing address
220 W RIDGEWAY SUITE 201, WATERLOO, IA 50701
(319) 232-9023
(319) 232-1610
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0163089
—
IA
Enumeration date
08/31/2006
Last updated
08/22/2020
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