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SHANE B SMITH DDS
NPI 1952499790
Dentist - General Practice in Yakima, WA

Active since October 10, 2006
1501 S 40TH AVE, YAKIMA, WA 98908(509) 577-8277(509) 573-4858 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Shane B Smith Dds NPPES

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

SHANE B SMITH DDS (NPI 1952499790) is an individual general practice provider in Yakima, Washington, licensed in Washington (8412) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1952499790
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameSHANE B SMITHCredential: DDS
Location Address1501 S 40TH AVEYakima, WA 98908-3963
Mailing Address1501 S 40th AveYakima, WA 98908-3963 · (509) 577-8277 · Fax (509) 573-4858
Phone(509) 577-8277
Fax(509) 573-4858
Sole ProprietorNo
Enumeration DateOctober 10, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1952499790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WA · 8412
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.

1501 S 40TH AVE, Yakima, WA 98908
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Other Identifiers 6

Other0157861WA · Labor & Industries
Other92560941WA · Tpin
Other1361168WA · United Concordia
Other8931059WA · Crime Victims
Other8412WA · State License
Medicaid5031547WA

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.

PACKARD, PACKARD & PACKARD, PS
Dentist (General Practice)
1501 S 40TH AVE
YAKIMA, WA 98908
Yakima County (509) 577-8277
DR. OWEN E PACKARD DDS
Dentist (General Practice)
1501 S 40TH AVE
YAKIMA, WA 98908
Yakima County (509) 577-8277
DR. DAVID K PACKARD DMD
Dentist (General Practice)
1501 S 40TH AVE
YAKIMA, WA 98908
Yakima County (509) 577-8277
DR. BENNETT C PACKARD DMD
Dentist (General Practice)
1501 S 40TH AVE
YAKIMA, WA 98908
Yakima County (509) 577-8277
MATTHEW DUNN DDS
Dentist (General Practice)
1501 S 40TH AVE
YAKIMA, WA 98908
Yakima County (623) 377-1910

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 Shane Smith's NPI number?

The NPI number for Shane Smith is 1952499790. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Where is Shane Smith located?

Shane Smith practices at 1501 S 40th Ave, Yakima, WA 98908. The listed phone number is (509) 577-8277.

What is Shane 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 Shane Smith was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.