Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1881724987 Individual Practitioner Male Practitioner

Dr. Richard Dewayne Smith , DDS

Dentist - General Practice • Chehalis, WA

Professional Overview & Biography Verified Profile Summary

Dr. Richard Smith, DDS is a registered healthcare professional specializing in Dentist - General Practice in Chehalis, WA. Practice services are available at 2690 NE KRESKY AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2690 Ne Kresky Ave

Chehalis, WA 985322412

Telephone 3603309595
Fax 3603309580
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Chehalis, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
13 Specialists

Practicing in Chehalis, WA (3345 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

CMS Verified: 2021-12-21
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WA 9596

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
2200506 (WA)

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1023359254

Doctor of Philosophy (Ph.D.)

Dr. Sarah Landrum , MD

Family Medicine

NPI 1033317920

Doctor of Medicine (M.D.)

Emily Kelso , RDH

Dental Hygienist

NPI 1053563056

Registered Dental Hygienist

Jennifer O'brien , ARNP

Nurse Practitioner - Family

NPI 1053772483

Advanced Registered Nurse Practitioner

NPI 1053859223

Registered Pharmacist

Stephen Fischer , PA-C

Physician Assistant

NPI 1083723746

Physician Assistant (Certified)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location December 21, 2021

Registered at 2690 NE KRESKY AVE, CHEHALIS, WA 985322412 (Tel: 3603309595)

📍
Updated Business Mailing Address December 21, 2021

Registered at 2690 NE KRESKY AVE, CHEHALIS, WA 985322412 (Tel: 3603309595)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 21, 2021

Dentist (License #9596 in WA)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 10320 W INDIAN SCHOOL RD, SUITE C, PHOENIX, AZ 850375822 (Tel: 6238779501)

📍
Updated Business Mailing Address July 08, 2007

Registered at 9249 W CLARA LN, PEORIA, AZ 853825209 (Tel: 6235057511)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as RICHARD SMITH, D.D.S.

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

Dentist (License #6334 in AZ)

🟢
Initial NPI Registration & Enumeration March 07, 2007

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: 1881724987
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 07, 2007
Last Update: December 21, 2021
Sole Proprietor: No

Mailing Address

2690 Ne Kresky Ave

Chehalis, WA 985322412

Phone: 3603309595

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.