Dr. Michael E Smith, DMD
Dentist in Boise, ID. Individual provider (NPI-1).
NPI number1902829054
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1902829054
- Entity type
- Individual (NPI-1)
- Name
- Dr. Michael E Smith
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 26, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | N01262 | ID | Yes |
Practice location
801 N 10th StBoise, ID 83702-5423
Phone 208-343-4986 · Fax 208-343-4995
Mailing address
801 N 10th StBoise, ID 83702-5423
Phone 208-343-4986 · Fax 208-343-4995
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