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Active NPI 1235153768 Organization (Entity Type 2)

Frederic W. Smith Dmd, Md, Llc

Dentist - Oral and Maxillofacial Surgery • Pendleton, OR

About Frederic W. Smith Dmd, Md, Llc NPI 1235153768 Summary

Frederic W. Smith Dmd, Md, Llc is a verified healthcare organization specializing in Dentist - Oral and Maxillofacial Surgery operating in Pendleton, OR. Located at 1100 SOUTHGATE, SUITE 11, this facility provides patient care and medical services under National Provider Identifier (NPI) 1235153768.

Administrative operations and authorized compliance are overseen by Frederic Smith (Managing Partner).

The facility is associated with 13 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

1100 Southgate
Suite 11

Pendleton, OR 978013974

Telephone 5412761061

Fax 5412760674

Authorized Official Information

Authorized Contact Name

DR. Frederic Smith , DMD, MD

Title / Role

Managing Partner

Official Telephone

5412761061

Facility Classifications & Specialties

Dentist - Oral and Maxillofacial Surgery Primary Taxonomy

NUCC Taxonomy Code: 1223S0112X

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

13 Linked

Dr. Jason Tynkila , DMD NPI 1023013356

Dentist - General Practice

Pendleton, OR

View Practitioner Profile →

Julie Hughes , FNP-BC NPI 1154554053

Nurse Practitioner - Family

Pendleton, OR

View Practitioner Profile →

Dr. Jacob Cambier , MD NPI 1174604052

Radiology - Diagnostic Radiology

Pendleton, OR

View Practitioner Profile →

Dr. Donald Benschoter , DMD NPI 1225031859

Dentist - General Practice

Pendleton, OR

View Practitioner Profile →

Dr. Roger Blair , MD NPI 1376624197

Radiology - Diagnostic Radiology

Pendleton, OR

View Practitioner Profile →

Dr. Jason Walker , DMD NPI 1497068662

Dentist - General Practice

Pendleton, OR

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events

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NPI Profile Active April 02, 2008

NPI status registered as active in NPPES database

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Updated Practice Location April 02, 2008

Registered at 1100 SOUTHGATE, SUITE 11, PENDLETON, OR 978013974 (Tel: 5412761061)

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Updated Business Mailing Address April 02, 2008

Registered at 1100 SOUTHGATE, SUITE 11, PENDLETON, OR 978013974 (Tel: 5412761061)

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Organization / Clinic Name Updated April 02, 2008

Operating as FREDERIC W. SMITH DMD, MD, LLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 02, 2008

Dentist (License #D 8719 in OR)

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Initial NPI Registration & Enumeration July 27, 2006

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1235153768

Entity Type:

Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)

Enumeration Date: July 27, 2006

Last Update: April 02, 2008

Update or Correct Listing

Mailing Address

1100 Southgate, Suite 11

Pendleton, OR 978013974

Phone: 5412761061

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.

⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.