Individual provider · Type 1 NPI

Ethan J. Smith, DDS

General Practice Dentistry · Waterloo, IA

NPI number 1053206672 Active

About NPI 1053206672

Ethan J. Smith, DDS's National Provider Identifier is 1053206672, issued on Jun 12, 2025. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Waterloo, IA. The record was last updated on Jun 22, 2025.