NPI 1053626671

Nicholas a Smith, DMD

Practitioner Dentist Klamath Falls, OR

Practice location

Address: 2074 S 6th St, Klamath Falls, OR 97601-3372
Phone: (541) 880-2090
Fax: (541) 880-2092
Mailing address: 202 Southshore Ln, Klamath Falls, OR 97601-9111

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence D9464 (OR)

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Registry record

NPI: 1053626671
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Aug 2010
Record last updated: 10 Dec 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.