Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alligator Pediatric Dentistry , PLLC

Organization Pediatric Dentistry · NPI 1679747588

Alligator Pediatric Dentistry , PLLC is a Pediatric Dentistry in Ammon, Idaho. Licensed in Idaho. Registered with an NPI since 2008.

Licensed in
ID
In the registry since
2008
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2805 Eagle Dr
Ammon, ID 83406
Phone: (208) 542-1333
Fax: (208) 552-7296
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence D3257PD (ID)

Record details

NPI number1679747588
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Randy Smith — Owner · (208) 542-1333
NPI enumeratedApril 22, 2008
Last updated in NPPESApril 8, 2024
Mailing address2805 Eagle Drive, Ammon, ID 83406

Other providers in Ammon