DR. GARY ALFRED SMITH D.D.S.
NPI 1063441384
Dentist - General Practice in Council Bluffs, IA

Active since June 30, 2006
2612 W BROADWAY, COUNCIL BLUFFS, IA 51501(712) 323-3615(712) 325-6155 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Gary Alfred Smith D.d.s. NPPES

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

DR. GARY ALFRED SMITH D.D.S. (NPI 1063441384) is an individual general practice provider in Council Bluffs, Iowa, licensed in Iowa (6699) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1063441384
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. GARY ALFRED SMITHCredential: D.D.S.
Location Address2612 W BROADWAYCouncil Bluffs, IA 51501-3510
Mailing Address2612 W BroadwayCouncil Bluffs, IA 51501-3510 · (712) 323-3615 · Fax (712) 325-6155
Fax(712) 325-6155
Sole ProprietorNo
Enumeration DateJune 30, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1063441384 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 · 6699
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.
2612 W BROADWAY, Council Bluffs, IA 51501

Other Identifiers 4

Other039537PA · United Concordia
Other18575IA · Delta Dental-ia
Other18575IA · Wellmark
Other5334NE · Blue Cross/blue Shield-ne

Other Providers at the Same Location NPPES 5

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

Dentist (General Practice)
2612 W BROADWAY
COUNCIL BLUFFS, IA 51501
Dentist (General Practice)
2612 W BROADWAY
COUNCIL BLUFFS, IA 51501
Dentist
2612 W BROADWAY
COUNCIL BLUFFS, IA 51501
Dentist (General Practice)
2612 W BROADWAY
COUNCIL BLUFFS, IA 51501
Dentist
2612 W BROADWAY
COUNCIL BLUFFS, IA 51501

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 Gary Smith's NPI number?

The NPI number for Gary Smith is 1063441384. It was assigned to this individual provider in the NPPES registry on June 30, 2006.

Where is Gary Smith located?

Gary Smith practices at 2612 W Broadway, Council Bluffs, IA 51501. The listed phone number is (712) 323-3615.

What is Gary Smith's specialty?

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

When was this NPI record last updated?

The NPPES record for Gary Smith was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.