MEDICARE: DR. CHAD W SMART DDS

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	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	DE00009092	WA

General Provider Information

NPI Number	:	1003035668
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHAD W SMART DDS

Provider Business Mailing Address
First Line	:	2302 S UNION AVE STE B14
Second Line	:
City	:	TACOMA
State	:	WA
Zip	:	98405-1333
Country	:	US
Telephone Number	:	253-752-3949
Fax Number	:	253-752-6392

Provider Business Practice Location Address
First Line	:	2302 S UNION AVE
Second Line	:	STE B-14
City	:	TACOMA
State	:	WA
Zip	:	98405-1300
Country	:	US
Telephone Number	:	253-752-3949
Fax Number	:	253-752-6392

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/24/2007
Last Update Date	:	05/14/2026

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Directions to “ DR. CHAD W SMART DDS” Practice Location

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