MEDICARE: SMITH DENTAL FOREST GROVE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	D9728	OR

General Provider Information

NPI Number	:	1225494750
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SMITH DENTAL FOREST GROVE LLC

Provider Business Mailing Address
First Line	:	1907 MOUNTAIN VIEW LN STE 100
Second Line	:
City	:	FOREST GROVE
State	:	OR
Zip	:	97116-2274
Country	:	US
Telephone Number	:	503-359-0900
Fax Number	:

Provider Business Practice Location Address
First Line	:	1907 MOUNTAIN VIEW LN STE 100
Second Line	:
City	:	FOREST GROVE
State	:	OR
Zip	:	97116-2274
Country	:	US
Telephone Number	:	503-359-0900
Fax Number	:

Authorized Official
Title or Position	:	DENTIST
Name	:	RYAN SMITH
Credential	:	DDS
Telephone Number	:	503-359-0900

Provider Enumeration Date	:	01/13/2016
Last Update Date	:	01/13/2016

Similar Medicare Providers

1790780815 — DR. THOMAS F. ALEXANDER D.D.S.
Practice Location Address:

1907 MOUNTAIN VIEW LN , STE 100
FOREST GROVE, OR
97116-2274

Practice Phone: 503-359-0900
Practice Fax: 503-359-1070

1770567943 — MOLLY DACUS SAUNDERS D.M.D.
Practice Location Address:

1907 MOUNTAIN VIEW LN , SUITE 400
FOREST GROVE, OR
97116-2274

Practice Phone: 503-357-2158
Practice Fax: 503-357-0248

1962486142 — SHONEEN S SENDELBACK D.M.D.
Practice Location Address:

1907 MOUNTAIN VIEW LN , SUITE 400
FOREST GROVE, OR
97116-2274

Practice Phone: 503-357-2158
Practice Fax: 503-357-0248

1578869095 — DR. ALLEN RAY BURKETT M.D.
Practice Location Address:

2274 SHADY GROVE LN
TEMPERANCE, MI
48182-1365

Practice Phone: 734-850-2335
Practice Fax:

1407568710 — MR. NICHOLAS DELLERBA
Practice Location Address:

2274 LOCKAMY CT
GROVE CITY, OH
43123-1565

Practice Phone: 614-202-9202
Practice Fax:

1922105121 — PIEDMONT SPEECH THERAPY, INC
Practice Location Address:

15421 FOREST RD , SUITE D
FOREST, VA
24551-2274

Practice Phone: 434-525-2394
Practice Fax: 434-525-2118

Directions to “SMITH DENTAL FOREST GROVE LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.