# SMILE COMPANY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Grant Dental Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689047904
- **Authorized official:** DR. SCOTT W. GRANT DMD (PRESIDENT)
- **Authorized official phone:** (208) 888-2000

## Contact information

- **Practice address:** 6500 W EMERALD ST, BOISE, ID 83704-8736
- **Practice address phone:** (208) 893-5000
- **Practice address fax:** (208) 922-6057
- **Mailing address:** 2275 S EAGLE RD STE 140, MERIDIAN, ID 83642-2620
- **Mailing address phone:** (208) 888-2000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |
| 124Q00000X | Dental Hygienist | — | — | — |
| 126800000X | Dental Assistant | — | — | — |

## Other

- **Enumeration date:** 11/09/2015
- **Last updated:** 10/22/2020