Alligator Pediatric Dentistry ,pllc is a Pediatric Dental Clinic in Idaho Falls, Idaho. It is located at 3365 S Holmes Ave, Idaho Falls, ID and its contact number is 208-542-1333. The authorized person for Alligator Pediatric Dentistry ,pllc is Dr. Randy G. Smith
who is Dentist 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:
3365 S Holmes Ave, Idaho Falls, Idaho, 83404-7981
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:
Dentist
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:
30 Oct, 2012
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 3365 S Holmes Ave, Idaho Falls, Idaho
Zip:
83404-7981
Phone Number:
208-542-1333
Fax Number:
208-552-7296
Patients can reach Alligator Pediatric Dentistry ,pllc at 3365 S Holmes Ave, Idaho Falls, Idaho or can call to book an appointment on 208-542-1333. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.