| Thomas R. Smart, Dds, Pa | |
|
1717 Lincoln Way Ste 204 Coeur D Alene ID 83814-2556 | |
| (208) 667-0012 | |
| (208) 765-0788 |
| Full Name | Thomas R. Smart, Dds, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1717 Lincoln Way Ste 204, Coeur D Alene, Idaho |
| Authorized Official Name and Position | Thomas Richard Smart (DENTIST) |
| Authorized Official Contact | 2086670012 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas R. Smart, Dds, Pa 1717 Lincoln Way Suite 204 Coeur D Alene ID 83814-2556 Ph: (208) 667-0012 | Thomas R. Smart, Dds, Pa 1717 Lincoln Way Ste 204 Coeur D Alene ID 83814-2556 Ph: (208) 667-0012 |
| NPI Number | 1982874038 |
|---|---|
| Provider Enumeration Date | 03/05/2008 |
| Last Update Date | 06/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982874038 | NPI | - | NPPES |
| 806798100 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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