Nichol W Smith, DDS
Individual provider Active NPI Dentist · Sioux Falls, SD
NPI 1487724779 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1487724779
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- M889 (SD)
- Practice address
- 720 N Sycamore Ave
Sioux Falls, SD 57110-5740 - Phone
- (605) 338-6118
- NPI assigned
- Nov 8, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M889 | SD | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wilson-Smith Dental Inc | Dentist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | M889 | SD | Yes |
Addresses
Primary practice location
720 N Sycamore Ave
Sioux Falls, SD 57110-5740
Mailing address
1305 N Vail Dr
Sioux Falls, SD 57110-5722
Phone (605) 332-9057
Other providers in Sioux Falls, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.