Randall G. Smith in Idaho Falls - Pediatric Dentistry
Randall G. Smith - NPI 1659412724
Randall G. Smith is a Pediatric Dentistry in Idaho Falls, Idaho. Randall G. Smith practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Randall G. Smith is 1659412724. The last update date is 2020-01-16.
Randall G. Smith's current location address is 3365 S Holmes Ave, Idaho Falls, Idaho. You can contact this provider via phone number 2085421333. The mailing address for Randall G. Smith is 3365 S Holmes Ave, Idaho Falls, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randall G. Smith |
|---|---|
| Address | 3365 S Holmes Ave, Idaho Falls, Idaho |
| Phone Number | 2085421333 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1659412724 |
|---|---|
| Provider Enumeration Date | 2007-02-09 |
| Last Updated Date | 2020-01-16 |
Provider Mailing Address Detail
| Address | 3365 S Holmes Ave |
|---|---|
| City | Idaho Falls |
| State | Idaho (ID) |
| Post Code | 834047981 |
| Phone Number | 2085421333 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | D3257PD |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6C024 | ID | BLUE CROSS OF IDAHO | |
| 804126800 | ID | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Randall G. Smith by the Centers for Medicare & Medicaid Services?
The Randall G. Smith has been issued the NPI (National Provider Identifier) 1659412724, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Randall G. Smith's facilities are situated?
The facilities of Randall G. Smith are physically located at the following address: 3365 S Holmes Ave, Idaho Falls, ID, 834047981.
What is Randall G. Smith's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Randall G. Smith is Pediatric Dentistry, and the taxonomy code that categorizes this field of expertise is 1223P0221X.
On what date did the Randall G. Smith receive its 1659412724 assignment from the Centers for Medicare & Medicaid Services?
The Randall G. Smith was assigned its 1659412724 by the Centers for Medicare & Medicaid Services on 2007-02-09.
As of what date was the information pertaining to Randall G. Smith, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Randall G. Smith, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-01-16.
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