WASHINGTON SQUARE DENTAL - MELISSA A. SMITH, DDS, PC (NPI# 1841510260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841510260 |
| Entity Type | Organization |
| Organization Name | WASHINGTON SQUARE DENTAL - MELISSA A. SMITH, DDS, PC |
| Other Organization Name | WASHINGTON SMILES COMPLETE HEALTH DENTISTRY |
| Practice Address |
1111 E. Sixth Street Washington MO 63090 |
| Practice Telephone | 6362396328 |
| Practice Fax Number | 6362395048 |
| Mailing Telephone | 6362396328 |
| Mailing Fax Number | 6362395048 |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2018-09-07 |
| Authorized Official Name | DR. MELISSA ANN SMITH (OWNER) |
| Authorized Official Telephone | 6362396328 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
004013254 | MO | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2004013254 | MO | Dental Providers |
| Other Name | Type Code |
|---|---|
| Washington Smiles Complete Health Dentistry | Doing Business As Name - Organization |
| Street Address |
1111 E. SIXTH STREET |
| City | WASHINGTON |
| State | MO |
| Zip Code | 63090 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396881611 | Melissa Ann Smith | Dentist | 1111 E. Sixth Street, Washington, MO 63090 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831798792 | Alicia Caroline Baker | Nurse Practitioner | 1070 W 7th St, Washington, MO 63090 | 2020-10-21 |
| 1962975839 | Jennifer Biermann | Pharmacist | 801 E 5th Street, Washington, MO 63090 | 2019-01-03 |
| 1487199733 | Kristen Elaine Cleavelin | Registered Nurse | Mercy Convenient Care, 901 Patients First Drive, Washington, MO 63090 | 2016-12-22 |
| 1699146712 | Washington Community Counseling Center | Community/Behavioral Health | 421 W. 5th Street, Suite 110, Washington, MO 63090 | 2015-10-15 |
| 1598002024 | Americare At Vicotrian Manor of Washington, LLC | Assisted Living Facility | 2701 Rabbit Trail Dr, Washington, MO 63090 | 2013-01-03 |
| 1578824116 | Rhonda Ann Pepmiller | Nurse Practitioner | 851 E 5th St Ste 309, Washington, MO 63090 | 2012-05-30 |
| 1932486032 | Julie Joanne Lynch | Pharmacist | 890 Country Corners, Washington, MO 63090 | 2011-11-03 |
| 1043590839 | Laurie Elizabeth Bryson | Counselor | 102 Elm Street, Suite 204, Washington, MO 63090 | 2011-08-24 |
| 1164737490 | Mohan Mallikarjuna Edupuganti | Internal Medicine | 901 Patients First Dr Ste 2500, Washington, MO 63090 | 2010-08-11 |
| 1154640225 | Nicholas W Frederickson | Internal Medicine | 901 Patients First Drive Suite 3300, Washington, MO 63090 | 2010-05-27 |
| Find all providers in zip 63090 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508470196 | Benise Nnawuihe | Dentist | 55 M St Se, Washington, DC 20003-3522 | 2020-09-01 |
| 1124636139 | Amma Boateng | Dentist | 3651 Winfield Ln Nw, Washington, DC 20007-2385 | 2020-07-15 |
| 1760008841 | Kaitlin Elise Delaney | Dentist | 2021 K St Nw Ste 720, Washington, DC 20006-1003 | 2020-06-24 |
| 1710500871 | Robert Scott Mckernan | Dentist | 55 M St Ne Apt Ph210, Washington, DC 20002-3298 | 2020-05-24 |
| 1629691092 | City Dental Dc- 2055 L, Pllc | Dentist | 2075 L Street, Nw, Washington, DC 20036 | 2020-05-20 |
| 1275174351 | Roberts Brown & Associates | Dentist | 4300 Wheeler Rd Se, Washington, DC 20032-6036 | 2019-10-01 |
| 1841848421 | Tayler Yvette Keith Jackson | Dentist | 509 11th St Se, Washington, DC 20003-2831 | 2019-08-28 |
| 1639726243 | Matias Cima | Dentist | 4400 Jenifer St Nw Ste 340, Washington, DC 20015-2086 | 2019-08-20 |
| 1770145328 | Lydia Ileana Goodson | Dentist | 525 S, Ia-1, Washington, IA 52353-5235 | 2019-07-03 |
| 1346800356 | Mallory Kist | Dentist | 366 Washington Rd, Washington, PA 15301-2702 | 2019-06-20 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 63090 |
Please comment or provide details below to improve the information on WASHINGTON SQUARE DENTAL - MELISSA A. SMITH, DDS, PC.
| 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.