Individual provider · Type 1 NPI
Elizabeth Dockerty Smith, DDS, MSD
Orthodontics and Dentofacial Orthopedics Dentistry · Star, ID
Practice location
9876 W State St
Star, ID 83669-5210
Mailing address
1151 N Creekwater Way
Eagle, ID 83616-4853
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 12010466A (IN) |
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…
About NPI 1396965018
Elizabeth Dockerty Smith, DDS, MSD's National Provider Identifier is 1396965018, issued on Apr 26, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Star, ID. The record was last updated on Jan 25, 2023.