Dr Gregory Grant Smith, DDS | |
205 N Berkley St, Council, ID 83612-5015 | |
(208) 253-4242 | |
Not Available |
Full Name | Dr Gregory Grant Smith |
---|---|
Gender | Male |
Speciality | Dentist - General Practice |
Location | 205 N Berkley St, Council, Idaho |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619973401 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | D-5262 (Idaho) | Primary |
1223G0001X | Dentist - General Practice | 45619 (California) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Dr Gregory Grant Smith, DDS Po Box 1268, Mccall, ID 83638-1268 Ph: (714) 552-1562 | Dr Gregory Grant Smith, DDS 205 N Berkley St, Council, ID 83612-5015 Ph: (208) 253-4242 |
Dr. Kenneth Charles Prince, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 205 N Berkley Ave, Council, ID 83612 Phone: 208-253-4242 | |
Monte Roscoe Eppich, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 205 N Berkley St, Council, ID 83612 Phone: 208-253-4242 Fax: 208-253-6849 |