Alligator Pediatric Dentistry ,pllc is a Pediatric Dental Clinic in Ammon, Idaho. It is located at 2805 Eagle Drive, Ammon, ID and its contact number is 208-542-1333. The authorized person for Alligator Pediatric Dentistry ,pllc is Dr. Randy G. Smith
who is Owner of the clinic and their contact number is 208-542-1333. The primary license number for Alligator Pediatric Dentistry ,pllc is D3257PD (Pediatric Dentistry) in Idaho.
Alligator Pediatric Dentistry ,pllc Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Alligator Pediatric Dentistry ,pllc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Alligator Pediatric Dentistry ,pllc |
| Specialization: | Pediatric Dentistry |
| Clinic Address: | 2805 Eagle Drive, Ammon,
Idaho, 83406 |
| Phone: | 208-542-1333 |
| Fax: | 208-552-7296 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Randy G. Smith |
| Position: | Owner |
| Contact Number: | 208-542-1333 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Alligator Pediatric Dentistry ,pllc clinic are as mentioned below.
| NPI Number: | 1679747588 |
| NPI Enumeration Date: | 22 Apr, 2008 |
| NPI Last Update On: | 08 Apr, 2024 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Alligator Pediatric Dentistry ,pllc are as mentioned below.
| Specialization | License Number | State | Status | |
| Pediatric Dentistry | D3257PD | Idaho | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 8041268000 | Medicaid | Idaho | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Alligator Pediatric Dentistry ,pllc
2805 Eagle Drive,
Ammon, Idaho |
| Zip: | 83406 |
| Phone Number: | 208-542-1333 |
| Fax Number: | 208-552-7296 |
Patients can reach Alligator Pediatric Dentistry ,pllc at
2805 Eagle Drive, Ammon, Idaho or can
call to book an appointment on 208-542-1333.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.