Dr. Randall G. Smith is a Ammon, Idaho based Pediatric Dentist who is specialized in Pediatric Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Randall G. Smith is D3257PD for Pediatric Dentistry in Idaho. His current practice location is 2805 Eagle Drive, Ammon. Patients can reach him at 208-542-1333.
Dr. Randall G. Smith 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 Profile:
Dr. Randall G. Smith speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Randall G. Smith
Specialization:
Pediatric Dentist
Gender:
Male
Accepts Medicare Assignment:
No
Practice Address:
2805 Eagle Drive, Ammon, Idaho, 83406
Phone:
208-542-1333
Fax:
208-552-7296
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 are as mentioned below.
NPI Number:
1659412724
NPI Enumeration Date:
09 Feb, 2007
NPI Last Update On:
08 Apr, 2024
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Randall G. Smith are as mentioned below.
License Number
Specialization
State
Status
D3257PD
Pediatric Dentistry
Idaho
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Randall G. Smith such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
6C024
Other
Idaho
BLUE CROSS OF IDAHO
804126800
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:
2805 Eagle Drive, Ammon, Idaho
Zip:
83406
Phone Number:
208-542-1333
Fax Number:
208-552-7296
Patients can reach Dr. Randall G. Smith at 2805 Eagle Drive, Ammon, 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 09 December, 2024.