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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. ELIZABETH DOCKERTY SMITH, DDS, MSD

Active

DR. ELIZABETH DOCKERTY SMITH, DDS, MSD is a Orthodontics healthcare provider located in STAR, Idaho. NPI 1396965018 is currently active in the NPPES registry. Verify at CMS.

Orthodontics · STAR, ID

Registration Details

NPI Number
1396965018
Provider Type
Individual
Gender
Female
NPI Issued
Apr 26, 2007 (19.258549011197 yrs)
Last Updated
Jan 25, 2023
License
12010466A (IN)

Practice Information

Address
9876 W STATE ST
STAR, ID, 836695210
Browse ID providers · Browse ZIP 83669
Phone
2088980000
Primary Specialty
Orthodontics
1223X0400X
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.