is a Dental Clinic in Rexburg, Idaho. It is located at 56 Professional Plz, Rexburg, ID and its contact number is 208-356-9262. The authorized person for is Douglas J Smith
who is Owner-dentist of the clinic and their contact number is 208-356-9262. Other organizations associated with this clinic are Dental Health Center, Douglas J. Smith, The primary license number for is D1433 (General Practice) in Idaho. Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Specialization:
General Practice Dentistry
Clinic Address:
56 Professional Plz, Rexburg, Idaho, 83440-2047
Phone:
208-356-9262
Fax:
208-356-4804
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:
Douglas J Smith
Position:
Owner-dentist
Contact Number:
208-356-9262
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 clinic are as mentioned below.
NPI Number:
1962664458
NPI Enumeration Date:
26 Jun, 2008
NPI Last Update On:
26 Jun, 2008
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
Name
Specialization
NPI Number
Dental Health Center
Dentistry
1184126039
Douglas J. Smith
General Practice Dentistry
1962664458
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for are as mentioned below.
Specialization
License Number
State
Status
General Practice
D1433
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
001193200
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:
56 Professional Plz, Rexburg, Idaho
Zip:
83440-2047
Phone Number:
208-356-9262
Fax Number:
208-356-4804
Patients can reach at 56 Professional Plz, Rexburg, Idaho or can call to book an appointment on 208-356-9262. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 February, 2025.