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ETHAN J SMITH DDS
NPI 1053206672
Dentist - General Practice in Waterloo, IA

Active since June 12, 2025
4031 BANKERS BLVD, WATERLOO, IA 50701(319) 232-9023 Get Directions Write a Review

NPPES record last updated: June 22, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 22, 2025, Jun 12, 2025 (2 updates tracked since 2025).

About Ethan J Smith Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETHAN J SMITH DDS (NPI 1053206672) is an individual general practice provider in Waterloo, Iowa, licensed in Iowa (10363) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1053206672
Entity TypeIndividual
Primary Taxonomy1223G0001X
Provider Legal NameETHAN J SMITHCredential: DDS
Location Address4031 BANKERS BLVDWaterloo, IA 50701-7900
Mailing Address4031 Bankers BlvdWaterloo, IA 50701-7900 · (319) 232-9023
Phone(319) 232-9023
Sole ProprietorNo
Enumeration DateJune 12, 2025
Last NPPES UpdateJune 22, 20252 updates tracked since enumeration
NPPES CertifiedJune 22, 2025
✔ NPI 1053206672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IA · 10363
Definition
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.
4031 BANKERS BLVD, Waterloo, IA 50701
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAURA KURTZ
Dentist (General Practice)
4031 BANKERS BLVD
WATERLOO, IA 50701
Black Hawk County (319) 232-9023
EMMA KATHERINE RICHTER DDS
Dentist (General Practice)
4031 BANKERS BLVD
WATERLOO, IA 50701
Black Hawk County (319) 232-9023

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethan Smith's NPI number?

The NPI number for Ethan Smith is 1053206672. It was assigned to this individual provider in the NPPES registry on June 12, 2025.

Where is Ethan Smith located?

Ethan Smith practices at 4031 Bankers Blvd, Waterloo, IA 50701. The listed phone number is (319) 232-9023.

What is Ethan Smith's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Ethan Smith accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 4 other insurers list Ethan Smith as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ethan Smith was last updated on June 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.