What is Ethan Smith's NPI number?

Ethan Smith's National Provider Identifier (NPI) is 1053206672, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Ethan Smith's specialty?

Ethan Smith is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).

Where is Ethan Smith located?

Ethan Smith's practice location on file with NPPES is 4031 Bankers Blvd, Waterloo, IA 50701-7900.

What is Ethan Smith's phone number?

The practice phone number listed in the NPPES registry for Ethan Smith is (319) 232-9023.

Is Ethan Smith's NPI active?

Yes — Ethan Smith's NPI (1053206672) is active in the NPPES registry as of the last update on 2025-06-22.

IndividualActive

Ethan Smith, DDS

NPI 1053206672 · General Practice Dentistry · Waterloo, IA

Ethan Smith, DDS is a General Practice Dentistry provider in Waterloo, IA (NPI 1053206672).

Provider details

NPI number: 1053206672
Entity type: Individual
Primary specialty: General Practice DentistryDental Providers
Credential: DDS
Sole proprietor: No
License: 10363 (IA)

Specialties & taxonomies

General Practice DentistryPrimary1223G0001XLicense 10363 (IA)
Dental Providers

Profile Score

Established profile(54/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
1 yr in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

4031 Bankers Blvd

Waterloo, IA 50701-7900

Phone: (319) 232-9023

Street-level locationGet directions

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Mailing address