Organization
A REASON TO SMILE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG R SMITH DDS (OWNER)
(208) 343-1393
Entity
Organization
Contact information
Practice address
2803 N BOGUS BASIN RD, BOISE, ID 83702-0913
(208) 343-1393
(208) 388-8462
Mailing address
2803 N BOGUS BASIN RD, BOISE, ID 83702-0913
(208) 343-1393
(208) 388-8462
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386751212
—
ID
Enumeration date
04/03/2019
Last updated
04/03/2019
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