| Ashley Clarence Smith, DMD | |
|
201 S Paradise Ave, Middleton, ID 83644-5809 | |
| (208) 585-0048 | |
| (208) 466-5359 |
| Full Name | Ashley Clarence Smith |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 201 S Paradise Ave, Middleton, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144382722 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D-4003 (Idaho) | Primary |
| Entity Name | Community Health Clinics Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457309122 PECOS PAC ID: 4082527353 Enrollment ID: O20040130000055 |
| Mailing Address | Practice Location Address |
|---|---|
| Ashley Clarence Smith, DMD Po Box 9, Nampa, ID 83653-0009 Ph: (208) 461-7149 | Ashley Clarence Smith, DMD 201 S Paradise Ave, Middleton, ID 83644-5809 Ph: (208) 585-0048 |
Scott Richard Jordan, DMD Dentist Medicare: Medicare Enrolled Practice Location: 201 S Paradise Ave, Middleton, ID 83644 Phone: 208-585-0048 Fax: 208-466-5359 | |
Dr. Philip Openshaw, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 201 S Paradise Ave, Middleton, ID 83644 Phone: 208-585-0048 Fax: 208-466-5359 | |
Dr. Aries J Ganir, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1064 W. Main Street, Middleton, ID 83644 Phone: 208-585-9200 | |
Rustin G Hawker, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 509 S Middleton Rd Ste 101, Middleton, ID 83644 Phone: 208-921-5420 |