Peter Smidt, DDS

General Practice Dentistry · Morton, IL

Individual Active NPI

NPI number 1598170771

Practice location

1600 S 4TH Ave
Ste 110
Morton, IL 61550-2889
Phone
(309) 263-2781

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NPI record

NPI
1598170771
Entity type
Individual (Type 1)
Enumeration date
June 25, 2014
Last updated
June 25, 2014
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 019029856 IL

About Dr. Smidt

Peter Smidt, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1600 S 4TH Ave, Ste 110, Morton, IL 61550-2889. The NPI number 1598170771 was assigned on June 25, 2014 and the record was last updated on June 25, 2014.

Dr. Smidt lists a license in the registry: #019029856 (IL) 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 Peter Smidt, DDS?

The NPI number is 1598170771.

What is the phone number of Dr. Smidt?

The phone number listed for the practice location is (309) 263-2781.

Where is Dr. Smidt located?

1600 S 4TH Ave, Ste 110, Morton, IL 61550-2889.

What is the taxonomy code for Dr. Smidt?

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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