CHARLES DAVID SMITH


Address: 1959 Ne Pacific Street; Hsb Room B 241, Seattle, WA 98195-0001
Phone: 2188496683

CHARLES DAVID SMITH (NPI# 1770112575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770112575
Entity Type Individual
Full Name CHARLES DAVID SMITH
Practice Address 1959 Ne Pacific Street; Hsb Room B 241
Seattle
WA 98195-0001
Mailing Address Po Box 357134
Seattle
WA 98195-7134
Practice Telephone 2188496683
Mailing Telephone 2188496683
Enumeration Date 2020-04-03
Last Update Date 2020-07-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 204E00000X Oral & Maxillofacial Surgery DR61069016 WA Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

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1700360708 Charles Steven Smith Social Worker 117 Huxley Rd Ste B3, Knoxville, TN 37922-3179 2018-09-17
1437651452 Charles Anthony Smith Behavior Technician 8021 36th Ave N, St Petersburg, FL 33710-1011 2018-03-06
1023523743 Charles Smith IIi Orthotic Fitter 220 N Sykes Creek Pkwy Ste 200, Merritt Island, FL 32953-3490 2017-12-04
1588189765 Charles Russell Smith Jr. Counselor 152 Dunn Rd, Ashburnham, MA 01430-3043 2017-08-08
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1699219238 Charles Miah Smith Family Medicine 231 W Houston River Rd., Sulphur, LA 70663 2016-12-16
1649630633 Charles Elmore Smith Counselor 28 Dalton Pl, Springfield, MA 01109-1611 2016-03-03

Office Location

Street Address 1959 NE PACIFIC STREET; HSB ROOM B 241
City SEATTLE
State WA
Zip Code 98195-0001

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730700741 Christian Van Rooyen Student in an Organized Health Care Education/Training Program 1951 Pacific Street, Seattle, WA 98195 2020-04-30
1720608235 Alexander John Arnold Psychiatry & Neurology 1959 Ne Pacific St, Rr650, Seattle, WA 98195 2020-04-24
1588127138 Scott Boop Student in an Organized Health Care Education/Training Program Department of Neurological Surgery, 1959 Ne Pacific St, Box Number 356470, Seattle, WA 98195 2019-04-10
1275093973 Elizabeth Grace Knoff Floodeen Oral & Maxillofacial Surgery University of Washington Department of Surgery, 1959 Ne Pacific Street, Seattle, WA 98195 2019-03-20
1780174722 Matias Eduardo Czerwonko Pupi Student in an Organized Health Care Education/Training Program 1959 Ne Pacific Street (university of Washington Depart, Seattle, WA 98195 2018-05-15
1235636143 Caitlin Aiko Harrington Student in an Organized Health Care Education/Training Program University of Washington Internal Medicine Residency, Seattle, WA 98195 2018-04-07
1851897243 Natalie Miller Student in an Organized Health Care Education/Training Program University of Washington Medical Center 1959 Ne Pacific, Seattle, WA 98195 2018-04-04
1386140978 Elena Luisa Pellicer Student in an Organized Health Care Education/Training Program Univ of Washington Dept of Obgyn, 1959 Ne Pacific St., Seattle, WA 98195 2018-04-02
1407386824 Sherry S Wang Radiology Uw Radiology, 1959 Ne Pacific Street, Box 357115, Seattle, WA 98195 2017-06-18
1932638137 Maziar Riazy Student in an Organized Health Care Education/Training Program 1959 Ne Pacific Street, Rm Ne110, University of Washington Medical Center - Pathology, Seattle, WA 98195 2017-06-09
Find all providers in zip 98195

Taxonomy Information

Taxonomy Code 204E00000X
Grouping Allopathic & Osteopathic Physicians
Classification Oral & Maxillofacial Surgery

Taxonomy Definition

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366079972 Aaron Hui Oral & Maxillofacial Surgery 6222 Ne 74th Street Building 25, 2nd Floor, Seattle, WA 98115 2020-03-24
1275093973 Elizabeth Grace Knoff Floodeen Oral & Maxillofacial Surgery University of Washington Department of Surgery, 1959 Ne Pacific Street, Seattle, WA 98195 2019-03-20
1952840274 Onyinyechi Kelechukwu Esonu Oral & Maxillofacial Surgery 1959 Ne Pacific St # 357134, University of Washington Department of Oral Surgery, Seattle, WA 98195-0001 2017-02-20
1598146730 Chia-lin Michael Tsai Oral & Maxillofacial Surgery 1959 Ne Pacific Street Hsb Rm B241, Box 357134, Seattle, WA 98195-0001 2015-06-12
1386037570 Rodney Nakano Nishimoto Oral & Maxillofacial Surgery University of Washington Oms, 1959 Ne Pacific Street Box 357134, Seattle, WA 98195 2015-03-11
1164815569 Joseph Garcia Oral & Maxillofacial Surgery 2960 Eastlake Ave E Apt 208, Seattle, WA 98102-2003 2015-03-09
1154687770 Joshua Stephen Brandner Oral & Maxillofacial Surgery 1959 Ne Pacific Street Box 357134, Seattle, WA 98195-3372 2012-04-09
1629699715 Jardin Yousef Oral & Maxillofacial Surgery 1959 Ne Pacific Street Hsb # B241, Seattle, WA 98195-0001 2020-04-30
1720607328 Stephanie Victoria Lustofin Oral & Maxillofacial Surgery 325 9th Ave, Seattle, WA 98104-2420 2020-04-14
1982223574 Da Min Park Oral & Maxillofacial Surgery 1959 Ne Pacific Street Hsb # B241, Seattle, WA 98195-0001 2020-04-13
Find all providers in SEATTLE

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City SEATTLE
Zip Code 98195

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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