Individual provider · Type 1 NPI

Samuel G. Smith, DMD, M.S.

Orthodontics and Dentofacial Orthopedics Dentistry · Boise, ID

NPI number 1013920313 Active

Practice location

1541 S. Times Square
Boise, ID 83709

Fax (208) 375-4647

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XD-3549-OR (ID)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1013920313

Samuel G. Smith, DMD, M.S.'s National Provider Identifier is 1013920313, issued on Aug 15, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Boise, ID. The record was last updated on Jul 8, 2007.