FREDERIC W. SMITH DMD MD LLC NPI 1235153768

NPI Information

  • NPI: 1235153768
  • Provider Name: FREDERIC W. SMITH DMD, MD, LLC
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Doing Business As: THREE RIVERS ORAL SURGERY
  • Address: 1100 SOUTHGATE
    SUITE 11
    PENDLETON, OR
    ZIP 97801
  • Phone: (541) 276-1061

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NPI Details

FREDERIC W. SMITH DMD, MD, LLC is an oral and maxillofacial surgery dentist in Pendleton, OR. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. FREDERIC W. SMITH DMD, MD, LLC NPI is 1235153768. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Three Rivers Oral Surgery.

The provider's business location address is:

1100 SOUTHGATE
SUITE 11
PENDLETON, OR
ZIP 97801-974
Phone: (541) 276-1061
Fax: (541) 276-0674

The provider's authorized official is Frederic Warren Smith .
The authorized official title is Managing Partner and has the following contact phone number (541) 276-1061.

The enumeration date for this NPI number is 7/27/2006 and was last updated on 4/2/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial SurgeryD 8719OREGONYes

What is NPI?

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This page was last updated on: 11/21/2025

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