Organization
SMILE COMPANY, PLLC
Active
Other names
Grant Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT W. GRANT DMD (PRESIDENT)
(208) 888-2000
Entity
Organization
Contact information
Practice address
6500 W EMERALD ST, BOISE, ID 83704-8736
(208) 893-5000
(208) 922-6057
Mailing address
2275 S EAGLE RD STE 140, MERIDIAN, ID 83642-2620
(208) 888-2000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
124Q00000X
Dental Hygienist
—
—
126800000X
Dental Assistant
—
—
Other
Enumeration date
11/09/2015
Last updated
10/22/2020
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