Dr. Glen Allen Smith, DDSMS
Dr. Glen Allen Smith, DDSMS is an Orthodontics and Dentofacial Orthopedics Dentistry in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2006.
- Licensed in
- ID
- In the registry since
- 2006
Practice location Address checks out
4725 N Cloverdale RdBoise, ID 83713
Phone: (208) 323-4458
Fax: (208) 321-1706
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Orthodontics and Dentofacial Orthopedics Dentistry (primary) | Taxonomy 1223X0400X · Licence D30360R (ID) |
|---|
Record details
| NPI number | 1154338812 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DDSMS |
| Sole proprietor | No |
| NPI enumerated | August 2, 2006 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 869 E Antilles Crt, Meridian, ID 83642 |
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