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

Charles David Smith

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1770112575

Charles David Smith is a Student in an Organized Health Care Education/Training Program in Seattle, Washington. Licensed in Washington. Registered with an NPI since 2020.

Licensed in
WA
In the registry since
2020
Specialties on file
2

Practice location Address checks out

1959 NE Pacific Street; Hsb Rm B 241
Seattle, WA 98195-0001
Phone: (218) 849-6683
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral & Maxillofacial Surgery (D.M.D.) (primary) Taxonomy 204E00000X · Licence DR61069016 (WA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1770112575
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 3, 2020
Last updated in NPPESJuly 22, 2020
Certification dateJuly 22, 2020
Mailing addressPo Box 357134, Seattle, WA 98195-7134

Other providers in Seattle