Healthcare Provider Details

I. General information

NPI: 1528983749
Provider Name (Legal Business Name): DR. RILEY SMART
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3316 56TH ST STE 100
GIG HARBOR WA
98335-1852
US

IV. Provider business mailing address

3316 56TH ST STE 100
GIG HARBOR WA
98335-1852
US

V. Phone/Fax

Practice location:
  • Phone: 253-329-5437
  • Fax:
Mailing address:
  • Phone: 253-329-5437
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDE.70154988
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: