DR. Gregory Grant Smith, D.D.S.

NPI #1619973401 in Council, Idaho

Provider Information

NPI Number
1619973401
Entity Type
Individual
Name
DR. Gregory Grant Smith, D.D.S.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Jun 27, 2005
Last Updated
Sep 23, 2021

Practice Location

Address
205 N BERKLEY ST
State
Idaho
ZIP Code
83612-5015
Phone
(208) 253-4242

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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