Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1790355121 Individual Practitioner Male Practitioner

Dr. Nicholas Hampton Smith , DDS

Dentist - General Practice • Moses Lake, WA

Professional Overview & Biography Verified Profile Summary

Dr. Nicholas Smith, DDS is a registered healthcare professional specializing in Dentist - General Practice in Moses Lake, WA. Practice services are available at 417 E BROADWAY AVE STE 103 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

417 E Broadway Ave Ste 103

Moses Lake, WA 988373081

Telephone 5097650150
Associated Practice Facility / Clinic
🏢 Rj Henneberg, Pllc Facility NPI 1700490356

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Moses Lake, WA

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

Practicing in Moses Lake, 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: 2025-05-23
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WA DE61518860

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License AZ D011081

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.

Secondary Practice Locations

1100 S Pioneer Way

Moses Lake, WA 988372346

Phone: 5097655615

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location May 23, 2025

Registered at 417 E BROADWAY AVE STE 103, MOSES LAKE, WA 988373081 (Tel: 5097650150)

📍
Updated Practice Location April 14, 2025

Registered at 1100 S PIONEER WAY, MOSES LAKE, WA 988372346 (Tel: 5097655615)

📍
Updated Business Mailing Address April 14, 2025

Registered at 4751 W JUNCO ST, MOSES LAKE, WA 988375813 (Tel: 2082518666)

NPI Profile Active June 28, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location June 28, 2021

Registered at 3048 E BASELINE RD STE 126, MESA, AZ 852047288 (Tel: 4808323400)

📍
Updated Business Mailing Address June 28, 2021

Registered at 230 E CIVIC CENTER DR APT 2001, GILBERT, AZ 852960100 (Tel: 2082518666)

👤
Provider Name / Credentials Updated June 28, 2021

Recorded as NICHOLAS SMITH, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 28, 2021

Dentist (License #D011081 in AZ)

🟢
Initial NPI Registration & Enumeration June 28, 2021

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: 1790355121
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 28, 2021
Last Update: May 23, 2025
Sole Proprietor: No

Mailing Address

4751 W Junco St

Moses Lake, WA 988375813

Phone: 2082518666

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.