Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mountain Smiles - Longview Dental, PLLC

Organization Dentist · NPI 1528867108

Mountain Smiles - Longview Dental, PLLC is a Dentist in Longview, Washington. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
11
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

900 Fir St Ste 1D
Longview, WA 98632-2544
Phone: (360) 261-6094
Fax: (360) 577-0566
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X
Dental Anesthesiology Taxonomy 1223D0004X
Endodontics Taxonomy 1223E0200X
General Practice Dentistry Taxonomy 1223G0001X
Oral and Maxillofacial Pathology Dentistry Taxonomy 1223P0106X
Periodontics Taxonomy 1223P0300X
Prosthodontics Taxonomy 1223P0700X
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X
Denturist Taxonomy 122400000X
Dental Hygienist Taxonomy 124Q00000X
Dental Assistant Taxonomy 126800000X

Record details

NPI number1528867108
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Angel Gimenez — Credentialing Senior Manager · (719) 300-5933
Other names Smiles Dental
NPI enumeratedMarch 7, 2025
Last updated in NPPESMarch 7, 2025
Certification dateFebruary 18, 2025
Mailing address900 Fir St Ste 1d, Longview, WA 98632-2544

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