Provider Demographics
NPI:1992512115
Name:SMITH PESTER PLLC
Entity type:Organization
Organization Name:SMITH PESTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EUGENE
Authorized Official - Middle Name:BENJAMIN
Authorized Official - Last Name:PESTER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:509-995-7746
Mailing Address - Street 1:11205 E SPRAGUE AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99206-5219
Mailing Address - Country:US
Mailing Address - Phone:509-995-7746
Mailing Address - Fax:
Practice Address - Street 1:825 SHARON AVE E
Practice Address - Street 2:
Practice Address - City:MOSES LAKE
Practice Address - State:WA
Practice Address - Zip Code:98837-2441
Practice Address - Country:US
Practice Address - Phone:509-995-7746
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-11
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental