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DR. KELLY KATHELEEN SMUDDE DDS NPI 1932281177


NPI Information

NPI: 1932281177
Provider Name: DR. KELLY KATHELEEN SMUDDE, DDS
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
25880 TOURNAMENT RD STE 103
VALENCIA, CA
ZIP 91355
Phone: (661) 259-4474
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DR. Kelly Katheleen Smudde, DDS is a general practice dentist in Valencia, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Kelly Katheleen Smudde, DDS NPI is 1932281177. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

25880 TOURNAMENT RD STE 103
VALENCIA, CA
ZIP 91355-378
Phone: (661) 259-4474
Fax: (661) 259-1371

The enumeration date for this NPI number is 10/19/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice45323CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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