Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114033248 Individual Practitioner Male Practitioner

Dr. Jeffrey Smith , DDS

Dentist - General Practice • Waterloo, IA

Professional Overview & Biography Verified Profile Summary

Dr. Jeffrey Smith, DDS is a registered healthcare professional specializing in Dentist - General Practice in Waterloo, IA. Practice services are available at 220 W RIDGEWAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

220 W Ridgeway
Suite 201

Waterloo, IA 50701

Telephone 3192329023
Fax 3192321610
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Waterloo, IA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 1.0 Yrs
State Avg: 9.0 Yrs
Regional Practice Density
34 Specialists

Practicing in Waterloo, IA (1303 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IA 7717

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0163089 (IA)
Commercial Insurance / Payer ID Ucci
506900
Commercial Insurance / Payer ID Bcbs
25629

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
NPI 1013222330

Doctor of Dental Surgery

Dr. Ethan Smith , DDS

Dentist - General Practice

NPI 1053206672

Doctor of Dental Surgery

Laura Kurtz

Dentist - General Practice

NPI 1134535818
Dr. Teryl Edwards , DDS

Dentist - General Practice

NPI 1215043344

Doctor of Dental Surgery

Dr. Emma Richter , DDS

Dentist - General Practice

NPI 1851021596

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 220 W RIDGEWAY, SUITE 201, WATERLOO, IA 50701 (Tel: 3192329023)

📍
Updated Business Mailing Address July 08, 2007

Registered at 330 RUSSELL RD, WATERLOO, IA 50701 (Tel: 3192331459)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JEFFREY SMITH, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #7717 in IA)

🟢
Initial NPI Registration & Enumeration August 22, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114033248
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 22, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

330 Russell Rd

Waterloo, IA 50701

Phone: 3192331459

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.