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Organization
SMILE COMPANY, PLLC
Active
Organization
SMILE COMPANY, PLLC
Active
Other names
Grant Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT W. GRANT DMD (PRESIDENT)
(208) 888-2000
Entity
Organization
Contact information
Practice address
6500 W EMERALD ST, BOISE, ID 83704-8736
(208) 893-5000
(208) 922-6057
Mailing address
2275 S EAGLE RD STE 140, MERIDIAN, ID 83642-2620
(208) 888-2000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
124Q00000X
Dental Hygienist
—
—
126800000X
Dental Assistant
—
—
Other
Enumeration date
11/09/2015
Last updated
10/22/2020
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