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Active NPI 1104839604 Individual Practitioner Male Practitioner

Dr. Dewayne Rush Smith , DDS

Dentist - General Practice • Puyallup, WA

Professional Overview & Biography Verified Profile Summary

Dr. Dewayne Smith, DDS is a registered healthcare professional specializing in Dentist - General Practice in Puyallup, WA. Practice services are available at 8604 112TH ST E under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

8604 112th St E

Puyallup, WA 983733857

Telephone 2538450558
Fax 2538410980
Associated Practice Facility / Clinic
🏢 Rick Y. Lieu, D.d.s.,pllc Facility NPI 1467691378

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Puyallup, WA

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

Practicing in Puyallup, 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WA 6708

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.

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dorothy Corliss , RDH

Dental Hygienist

NPI 1245476167

Registered Dental Hygienist

Dr. Rick Lieu , DDS

Dentist - General Practice

NPI 1255473989

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 November 03, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location November 03, 2010

Registered at 8604 112TH ST E, PUYALLUP, WA 983733857 (Tel: 2538450558)

📍
Updated Business Mailing Address November 03, 2010

Registered at 11130 JOLLEYVILLE ROAD, SUITE 1500, AUSTIN, TX 78759 (Tel: 5123468424)

👤
Provider Name / Credentials Updated November 03, 2010

Recorded as DEWAYNE SMITH, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 03, 2010

Dentist (License #6708 in WA)

🟢
Initial NPI Registration & Enumeration August 14, 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: 1104839604
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 14, 2006
Last Update: November 03, 2010
Sole Proprietor: No
Update or Correct Profile

Mailing Address

11130 Jolleyville Road, Suite 1500

Austin, TX 78759

Phone: 5123468424

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.