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Ethan J Smith, DDS

General Practice Dentistry in Waterloo, IA · enumerated 2025.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1053206672

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Registry record

Entity type Individual (Type 1)
Name Ethan J Smith
Credential DDS
Sex X
Practice address 4031 Bankers Blvd, Waterloo, IA, 50701
Enumeration date Jun 12, 2025
Last updated in NPPES Jun 22, 2025

Taxonomy & licenses

1223G0001X General Practice Dentistry Dental Providers · License 10363 (IA) Primary
DDS · Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential

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.

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Frequently asked questions

What is the NPI number for Ethan Smith?
The National Provider Identifier (NPI) for Ethan Smith is 1053206672, a Type 1 (individual) record in the CMS NPPES registry.
Where does Ethan Smith practice?
The practice location on file with NPPES is in Waterloo, IA. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-06-22.