# MILLENNIUM FAMILY DENTAL - MERIDIAN 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:** 1689773525
- **Authorized official:** DR. RANDALL B SMITH DMD (OWNER)
- **Authorized official phone:** (208) 888-2026

## Contact information

- **Practice address:** 1848 MILLENIUM WAY, MERIDIAN, ID 83642
- **Practice address phone:** (208) 888-2026
- **Practice address fax:** (208) 888-2094
- **Mailing address:** 1848 MILLENIUM WAY, MERIDIAN, ID 83642
- **Mailing address phone:** (208) 888-2026
- **Mailing address fax:** (208) 888-2094

## Taxonomy

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

## Other

- **Enumeration date:** 09/21/2006
- **Last updated:** 01/26/2022