# MARK E. SMITH DDS, PC

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

## Provider details

- **NPI number:** 1881853364
- **Authorized official:** DR. MARK E SMITH DDS (PRESIDENT)
- **Authorized official phone:** (208) 846-8847

## Contact information

- **Practice address:** 2320 E GALA ST, SUITE 200, MERIDIAN, ID 83642-7091
- **Practice address phone:** (208) 846-8847
- **Practice address fax:** (208) 288-2786
- **Mailing address:** 2320 E GALA ST, SUITE 200, MERIDIAN, ID 83642-7091
- **Mailing address phone:** (208) 846-8847
- **Mailing address fax:** (208) 288-2786

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 06/09/2008
- **Last updated:** 06/09/2008
