Gary Alfred Smith, D.D.S.

General Practice Dentistry · Council Bluffs, IA

Individual Active NPI

NPI number 1063441384

Practice location

2612 W Broadway
Council Bluffs, IA 51501-3510
Phone
(712) 323-3615
Fax
(712) 325-6155

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NPI record

NPI
1063441384
Entity type
Individual (Type 1)
Enumeration date
June 30, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 6699 IA

About Dr. Smith

Gary Alfred Smith, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 2612 W Broadway, Council Bluffs, IA 51501-3510. The NPI number 1063441384 was assigned on June 30, 2006 and the record was last updated on July 8, 2007.

Dr. Smith lists a license in the registry: #6699 (IA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Gary Alfred Smith, D.D.S.?

The NPI number is 1063441384.

What is the phone number of Dr. Smith?

The phone number listed for the practice location is (712) 323-3615.

Where is Dr. Smith located?

2612 W Broadway, Council Bluffs, IA 51501-3510.

What is the taxonomy code for Dr. Smith?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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