# J & J SMILES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gem State Smiles
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952143802
- **Authorized official:** DR. JUSTIN SCOTT MADSEN DDS (PRACTICE OWNER)
- **Authorized official phone:** (801) 455-9233

## Contact information

- **Practice address:** 355 W IOWA AVE, NAMPA, ID 83686-2856
- **Practice address phone:** (208) 467-3000
- **Mailing address:** 355 W IOWA AVE, NAMPA, ID 83686-2856
- **Mailing address phone:** (208) 467-3000

## Taxonomy

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

## Other

- **Enumeration date:** 06/11/2024
- **Last updated:** 06/11/2024