| Alligator Pediatric Dentistry ,pllc | |
|
2805 Eagle Drive Ammon ID 83406 | |
| (208) 542-1333 | |
| (208) 552-7296 |
| Full Name | Alligator Pediatric Dentistry ,pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2805 Eagle Drive, Ammon, Idaho |
| Authorized Official Name and Position | Randy G. Smith (OWNER) |
| Authorized Official Contact | 2085421333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alligator Pediatric Dentistry ,pllc 2805 Eagle Drive Ammon ID 83406 Ph: (208) 542-1333 | Alligator Pediatric Dentistry ,pllc 2805 Eagle Drive Ammon ID 83406 Ph: (208) 542-1333 |
| NPI Number | 1679747588 |
|---|---|
| Provider Enumeration Date | 04/22/2008 |
| Last Update Date | 04/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679747588 | NPI | - | NPPES |
| 8041268000 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | D3257PD (Idaho) | Primary |
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