Search › Idaho › 1223X0400X
Glen Smith, DDS MS
NPI 1154338812 · on the registry since 2006
Practice
- Address
- 4725 N Cloverdale Rd
Boise, ID 83713 - Phone
- (208) 323-4458
- Fax
- (208) 321-1706
- Organisation at this address
- Boise Orthodontics P.A.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 1223X0400X
1223X0400X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho