Innovative Sleep & Tmj Center Pllc

NPI #1124892773 in Meridian, Idaho

Provider Information

NPI Number: 1124892773
Entity Type: Organization
Organization Name: Innovative Sleep & Tmj Center Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 14, 2023
Last Updated: Nov 21, 2024

Practice Location

Address: 1720 W MCMILLAN RD
City: Meridian
State: Idaho
ZIP Code: 83646-6892
Phone: (208) 216-6110

Authorized Official

Name: DR. RANDALL B SMITH, DMD
Title: MANAGER
Phone: (208) 870-6288

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment	332BC3200X
Dentist - General Practice — General Practice	1223G0001X	Primary

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