Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GLEN ALLEN SMITH, DDS MS
ActiveDR. GLEN ALLEN SMITH, DDS MS is a Orthodontics healthcare provider located in BOISE, Idaho. NPI 1154338812 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · BOISE, ID
Registration Details
- NPI Number
- 1154338812
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 2, 2006 (19.988188367469 yrs)
- Last Updated
- Jul 8, 2007
- License
-
D30360R (ID)
Practice Information
- Address
-
4725 N CLOVERDALE RDBOISE, ID, 83713Browse ID providers · Browse ZIP 83713
- Phone
- 2083234458
- Fax
- 2083211706
- Primary Specialty
-
Orthodontics
1223X0400X
Other Orthodontics Providers in BOISE, ID
| Name | Credential | NPI |
|---|---|---|
| JOHN T KALANGE | D.D.S., M.S. | 1124014154 |
| DR. SAMUEL G. SMITH | D.M.D.,M.S. | 1013920313 |
| JOHN C MATUNAS | DDS | 1205943669 |
| TERRELL F TINGEY | DDS MSD | 1043322548 |
| DR. JAMES KELLY POULSEN | DDS MS | 1265535298 |
| DR. JOHN C. SLATTERY | DDS, MS | 1346344884 |
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.