SMILES 4 KIDS BURLEY NPI 1346510237

NPI Information

  • NPI: 1346510237
  • Provider Name: SMILES 4 KIDS BURLEY
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Organization
  • Address: 1408 POMERELLE AVE
    SUITE D
    BURLEY, ID
    ZIP 83318
  • Phone: (208) 734-7415

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NPI Details

SMILES 4 KIDS BURLEY is a pediatric dentistry dentist in Burley, ID. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. SMILES 4 KIDS BURLEY NPI is 1346510237. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1408 POMERELLE AVE
SUITE D
BURLEY, ID
ZIP 83318-064
Phone: (208) 734-7415
Fax: (208) 733-1922

The provider's authorized official is Trent Graff Pryor .
The authorized official title is Dentist and has the following contact phone number (208) 734-7415.

The enumeration date for this NPI number is 1/9/2012 and was last updated on 11/13/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0221XDentistPediatric Dentistry1223P0221XIDAHOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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