Provider Demographics
NPI:1245448703
Name:SMITH, UMEKEI W (DDS)
Entity type:Individual
Prefix:DR
First Name:UMEKEI
Middle Name:W
Last Name:SMITH
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4740 CONNECTICUT AVE NW APT 102
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20008-5604
Mailing Address - Country:US
Mailing Address - Phone:202-537-0003
Mailing Address - Fax:202-364-3294
Practice Address - Street 1:4740 CONNECTICUT AVE NW APT 102
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20008-5604
Practice Address - Country:US
Practice Address - Phone:202-537-0003
Practice Address - Fax:202-364-3294
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX214921223G0001X
DCDEN10022311223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice