Individual provider · Type 1 NPI

Marie Smith

General Practice Dentistry · Hayden, ID

NPI number 1164976635 Active

Practice location

8636 N Wayne Dr
Hayden, ID 83835-5084

Call (208) 762-1555 Map

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XD4783 (ID)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1164976635

Marie Smith's National Provider Identifier is 1164976635, issued on Aug 12, 2016. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Hayden, ID. The record was last updated on Oct 21, 2025.