Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RANDALL G. SMITH
Active Sole ProprietorDR. RANDALL G. SMITH is a Pediatric Dentistry healthcare provider located in AMMON, Idaho. NPI 1659412724 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · AMMON, ID
Registration Details
- NPI Number
- 1659412724
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 9, 2007 (19.527855415978 yrs)
- Last Updated
- Apr 8, 2024
- License
-
D3257PD (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2805 EAGLE DRIVEAMMON, ID, 83406Browse ID providers · Browse ZIP 83406
- Phone
- 2085421333
- Fax
- 2085527296
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
Other Pediatric Dentistry Providers in AMMON, ID
| Name | Credential | NPI |
|---|---|---|
| MARK MARLOWE | DDS | 1851511372 |
| KAILEY ANNE SMITH HOUSLEY | DDS | 1831504125 |
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.