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

Ethan J Smith, DDS

Individual provider General Practice Dentistry · NPI 1053206672

Ethan J Smith, DDS is a General Practice Dentistry in Waterloo, Iowa. Licensed in Iowa. Registered with an NPI since 2025.

Licensed in
IA
In the registry since
2025
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

4031 Bankers Blvd
Waterloo, IA 50701-7900
Phone: (319) 232-9023
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 10363 (IA)

Record details

NPI number1053206672
Entity typeIndividual (Type 1)
GenderNot disclosed
Credentials DDS
Sole proprietorNo
NPI enumeratedJune 12, 2025
Last updated in NPPESJune 22, 2025
Certification dateJune 22, 2025
Mailing address4031 Bankers Blvd, Waterloo, IA 50701-7900

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