| Chad Smart Pllc | |
|
3519 56th St Ste 140 Gig Harbor WA 98335-8593 | |
| (253) 588-8581 | |
| Not Available |
| Full Name | Chad Smart Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3519 56th St Ste 140, Gig Harbor, Washington |
| Authorized Official Name and Position | Chad W Smart (OWNER) |
| Authorized Official Contact | 2535149525 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chad Smart Pllc 7105 85th St Nw Gig Harbor WA 98332-6711 Ph: (253) 514-9525 | Chad Smart Pllc 3519 56th St Ste 140 Gig Harbor WA 98335-8593 Ph: (253) 588-8581 |
| NPI Number | 1114607702 |
|---|---|
| Provider Enumeration Date | 07/19/2023 |
| Last Update Date | 07/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114607702 | NPI | - | NPPES |
| 1336329937 | Medicaid | WA | |
| 1942248521 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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