Smiles Dental Group, PC

NPI #1285093385 in Longview, Washington

Provider Information

NPI Number: 1285093385
Entity Type: Organization
Organization Name: Smiles Dental Group, PC
Primary Specialty: Dentist
Enumeration Date: Feb 17, 2016
Last Updated: May 26, 2022

Practice Location

Address: 820 OCEAN BEACH HWY
Address 2: SUITE 110
City: Longview
State: Washington
ZIP Code: 98632-4080
Phone: (360) 261-6094

Authorized Official

Name: DR. FREDRICK C THOMPSON, D.M.D.
Title: CHIEF DENTAL OFFICER
Phone: (503) 332-8646

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Dental Anesthesiology — Dental Anesthesiology	1223D0004X
Dentist - Endodontics — Endodontics	1223E0200X
Dentist - General Practice — General Practice	1223G0001X
Dentist - Periodontics — Periodontics	1223P0300X
Dentist - Prosthodontics — Prosthodontics	1223P0700X
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X
Denturist	122400000X
Dental Hygienist	124Q00000X
Dental Assistant	126800000X
Dentist	122300000X	Primary

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