# MONTE PAGE FAMILY DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Smiles by Design
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053400580
- **Authorized official:** RICHARD LAMONTE PAGE D.M.D. (PRESIDENT)
- **Authorized official phone:** (208) 237-6453

## Contact information

- **Practice address:** 135 WARREN AVE, POCATELLO, ID 83201-4621
- **Practice address phone:** (208) 237-6453
- **Practice address fax:** (208) 233-4227
- **Mailing address:** 135 WARREN AVE, POCATELLO, ID 83201-4621
- **Mailing address phone:** (208) 237-6453
- **Mailing address fax:** (208) 233-4227

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D3606 | ID | Yes |

## Other

- **Enumeration date:** 10/12/2006
- **Last updated:** 09/17/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 806402100 | — | ID |