Douglas J. Smith

NPI #1962664458 in Rexburg, Idaho

Provider Information

NPI Number: 1962664458
Entity Type: Organization
Organization Name: Douglas J. Smith
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 26, 2008
Last Updated: Jun 26, 2008

Practice Location

Address: 56 PROFESSIONAL PLZ
City: Rexburg
State: Idaho
ZIP Code: 83440-2047
Phone: (208) 356-9262

Authorized Official

Name: DOUGLAS J SMITH, DDS
Title: OWNER-DENTIST
Phone: (208) 356-9262

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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