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Contact Information

SAMUEL G SMITH, D.M.D.,M.S.
1541 S. TIMES SQUARE
BOISE, ID83709
 Phone: 208-321-7006
 Fax: 208-375-4647
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthodontics and Dentofacial Orthopedics

1223X0400X
Indicates primary specialty

NPI Profile & details for SAMUEL G SMITH · (Male)

NPI Number 1013920313
Status Active
Credentials D.M.D.,M.S.
Entity Individual
Enumeration date 08/15/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • ID License # D-3549-OR
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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