Ethan J Smith, DDS
Ethan J Smith is a General Practice Dentistry provider (Dentist) practicing in Waterloo, IA, registered in the NPPES registry with NPI 1053206672 since 2025. The credential DDS stands for Doctor of Dental Surgery.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1053206672 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Ethan J Smith |
| Credential | DDS |
| Sex | X |
| Practice address | 4031 BANKERS BLVD, Waterloo, IA, 50701 |
| Phone | 3192329023 |
| Enumeration date | 2025-06-12 |
| Last updated in NPPES | 2025-06-22 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223G0001X | General Practice Dentistry | Primary | 10363 | IA |
DDS — Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential
Copy-ready billing details
Provider: Ethan Smith, DDS NPI: 1053206672 Taxonomy: 1223G0001X (General Practice Dentistry) Address: 4031 BANKERS BLVD, Waterloo, IA, 50701
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1134535818 | Laura Kurtz | Individual | General Practice Dentistry | Waterloo, IA |
| 1851021596 | Emma Richter | Individual | General Practice Dentistry | Waterloo, IA |
Verify this record
Cross-check NPI 1053206672 against the authoritative CMS record: view Ethan J Smith on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Ethan Smith?
Where does Ethan Smith practice?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-06-22.