Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEAN TY SMITH, D.O.
ActiveDEAN TY SMITH, D.O. is a Family Medicine healthcare provider located in DOWNEY, Idaho. NPI 1144252099 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · DOWNEY, ID
Registration Details
- NPI Number
- 1144252099
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 7, 2006 (20.090064386534 yrs)
- Last Updated
- Mar 6, 2024
- License
-
O-136 (ID)
Practice Information
- Address
-
79 N MAIN STDOWNEY, ID, 832344703Browse ID providers · Browse ZIP 83234
- Phone
- 2088975600
- Fax
- 2088975603
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in DOWNEY, ID
| Name | Credential | NPI |
|---|---|---|
| KYLE ROTH | NP | 1659238822 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.