The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
NPI | 1154338812 |
NPI Entity Type | Individual |
Provider Name | DR. DDS MS Glen Allen Smith |
Enumeration Date | September 30, 2009 |
Last Update Date | September 30, 2009 |
Provider Location Address | 4725 N Cloverdale Rd, Boise, ID, US |
Provider Mailing Address | 869 E Antilles Crt, Meridian, ID, US, 83642 |
Is Sole Proprietor? | No |
Taxonomy Code | |
Taxonomy Name | Orthodontics and Dentofacial Orthopedic Dentist |
Classification | |
Group | |
License No. | D30360R |
License State | ID |
Description | 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 functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
Identifier | Identifier State | Identifier Issuer | Type/Code |
---|---|---|---|
6L271 | BLUE CROSS ID | 01 | |
734506 | UNITED CONCORDIA | 01 |
NPI | Name | Taxonomy | Address |
---|---|---|---|
Canopy Behavioral Health, Pllc Organization |
2596 N Stokesberry Pl Ste 180 |
||
MS Lucas Jay Hooker Individual |
136 S Academy Ave |
||
Sight Partners Physicians, P.c. Organization |
2175 N Main St |
||
Morgan Raye Horine Individual |
1301 E 17th St |
||
DPT Scott Treat Individual |
3360 S 15th E |
||
Landmark Medical Of Idaho Pc Organization |
322 E Front St Ste 400 |
||
DR. D.C. Julie Lee Restad Individual |
1012 W Main St |
||
MSOTR/L Michelle Leigh Dietz Individual |
7211 W Franklin Rd |
||
MS. PA-C Ivy Meg Wilson Individual |
2893 S Cadet Pl |
||
DR. PHARMD Victoria Emenari Individual |
4400 E Flamingo Ave |
||
Shannon Finnegan Individual |
6051 W Emerald St |
||
Mrc Llc Organization |
450 W State St Ste 270 |
||
Bedside Xray Service Inc Organization |
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
1110 N Five Mile Rd |
|
Highland Physical Therapy Llc Organization |
1951 Bench Rd Suite E |
||
Bruce W Hamerl O D P C Organization |
8300 W Overland Rd |
||
Front Line Ems, Llc Organization |
575 Old Highway 30 |
||
MRS. RPT Kimberly W Schwarze Individual |
1951 Bench Rd Suite E |
||
PA-C Todd M Otstot Individual |
206 E Elm St |
||
PT, DPT Katherine Buschhorn Individual |
1951 Bench Rd Ste E |
||
Odyssey Healthcare Operating B, Lp Organization |
1230 Northwood Center Ct. Ste. B |
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