Glen Allen Smith in Meridian - Orthodontics And Dentofacial Orthopedics
Glen Allen Smith - NPI 1154338812
Glen Allen Smith is a Orthodontics And Dentofacial Orthopedics in Meridian, Idaho. Glen Allen Smith practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Glen Allen Smith is 1154338812. The last update date is 2007-07-08.
Glen Allen Smith's current location address is 869 E Antilles Crt, Meridian, Idaho. You can contact this provider via phone number 2088871718. The mailing address for Glen Allen Smith is 869 E Antilles Crt, Meridian, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Glen Allen Smith |
|---|---|
| Address | 869 E Antilles Crt, Meridian, Idaho |
| Phone Number | 2088871718 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS MS |
NPI Number Detail
| NPI Number | 1154338812 |
|---|---|
| Provider Enumeration Date | 2006-08-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 869 E Antilles Crt |
|---|---|
| City | Meridian |
| State | Idaho (ID) |
| Post Code | 83642 |
| Phone Number | 2088871718 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | D30360R |
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Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6L271 | BLUE CROSS ID | ||
| 734506 | UNITED CONCORDIA |
Post Comment/ Review Below
What is the Glen Allen Smith's 1154338812?
The Glen Allen Smith's NPI (National Provider Identifier) Number is 1154338812. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Glen Allen Smith?
The Glen Allen Smith is physically situated at 869 E Antilles Crt, in the city of Meridian, state of ID, with the postal code 83642.
What is Glen Allen Smith's specialized field of practice, and what is the corresponding taxonomy classification code?
The Glen Allen Smith's area of specialization is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code that categorizes this field of practice is 1223X0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1154338812 to Glen Allen Smith?
The Centers for Medicare & Medicaid Services originally issued the 1154338812 to Glen Allen Smith on 2006-08-02.
As of what date was the information regarding Glen Allen Smith, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Glen Allen Smith, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.