# IDAHO FALLS SMILES, PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649610726
- **Authorized official:** DR. DAVID M HENINGER DDS (PRESIDENT/PART-OWNER)
- **Authorized official phone:** (208) 524-1700

## Contact information

- **Practice address:** 3375 MERLIN DR, IDAHO FALLS, ID 83404-7405
- **Practice address phone:** (208) 524-1700
- **Practice address fax:** (208) 524-1702
- **Mailing address:** 3375 MERLIN DR, IDAHO FALLS, ID 83404-7405
- **Mailing address phone:** (208) 524-1700
- **Mailing address fax:** (208) 524-1702

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D1920 | ID | Yes |

## Other

- **Enumeration date:** 07/03/2013
- **Last updated:** 07/03/2013