Frederick C. Smith DMD

Primary specialty

DentistTaxonomy code 122300000X

License

4874 Issued in OR

Legal business name

FREDERICK C. SMITH DMD

Practice address

515 15TH St
Suite 2
Astoria, OR 97103-3851

Phone

(503) 325-6655

Fax

(503) 325-6611

NPI assigned

Jun 15, 2015

Last updated

Jun 15, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Frederick C Smith, D.M.D.NPI 1780805093

Title

Owner

Phone

(503) 325-6655

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Frederick C Smith, DMD

  • General Practice Dentistry
  • Astoria, OR
  • NPI 1780805093
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434326400000",
    "number": "1528449667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 15TH ST",
            "address_2": "SUITE 2",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971033851",
            "telephone_number": "503-325-6655",
            "fax_number": "503-325-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 15TH ST",
            "address_2": "SUITE 2",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971033851",
            "telephone_number": "503-325-6655",
            "fax_number": "503-325-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK C. SMITH DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-15",
        "last_updated": "2015-06-15",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-325-6655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "4874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark A Finkbeiner, CRNA
• Theodore L Forcum III, DC
• Foresight Optical, Inc.
• Ashley Anne Foster-French
• James Edward Francis, R.PH., M.S.
• Tonya Frederick, RN, FNP
• Shannon Frucci, DPT
• Kevin Joshua Fuentes
• Kyle Fujisawa, RN
• Tina Marie Galey, ARNP

• Dentist in Astoria, OR
• Providers in Astoria, OR by specialty
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.