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

Dr. Randall G. Smith

Individual provider Pediatric Dentistry · NPI 1659412724

Dr. Randall G. Smith is a Pediatric Dentistry in Ammon, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2007

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 number1659412724
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 9, 2007
Last updated in NPPESApril 8, 2024
Certification dateJanuary 16, 2020
Mailing address2805 Eagle Drive, Ammon, ID 83406

Other providers in Ammon