Individual provider · Type 1 NPI

Kim Winona Smith, DDS, MSD

Periodontics · Kirkland, WA

NPI number 1063620169 Active

Practice location

10138 NE 64th St Apt 37
Kirkland, WA 98033-6861

Mailing address

PO Box 53
Kirkland, WA 98083-0053

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300XDE00006771 (WA)
Periodontics 1223P0300X30-01-8319 (OH)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1063620169

Kim Winona Smith, DDS, MSD's National Provider Identifier is 1063620169, issued on May 20, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Kirkland, WA. The record was last updated on Jul 8, 2007.