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

Innovative Sleep & Tmj Center PLLC

Organization General Practice Dentistry · NPI 1124892773

Innovative Sleep & Tmj Center PLLC is a General Practice Dentistry in Meridian, Idaho. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
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

1720 W McMillan Rd
Meridian, ID 83646-6892
Phone: (208) 216-6110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X
Customized Equipment (DME) Taxonomy 332BC3200X

Record details

NPI number1124892773
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Randall Smith — Manager · (208) 870-6288
NPI enumeratedNovember 14, 2023
Last updated in NPPESNovember 21, 2024
Certification dateNovember 21, 2024
Mailing address1720 W McMillan Rd, Meridian, ID 83646-6892

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