NPI 1124892773

Innovative Sleep & Tmj Center PLLC

Organisation General Practice Dentistry Meridian, ID

Practice location

Address: 1720 W McMillan Rd, Meridian, ID 83646-6892
Phone: (208) 216-6110

Authorised official

Name: Randall B Smith
Title: Manager
Phone: (208) 870-6288

Registered specialties (2)

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X

Other Dentist providers in Idaho →

Customized Equipment (DME)

Suppliers Taxonomy 332BC3200X

Other Durable Medical Equipment & Medical Supplies providers in Idaho →

Registry record

NPI: 1124892773
Entity type: Organization
NPI issued: 14 Nov 2023
Record last updated: 21 Nov 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.