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YOUR SPECIAL SMILES PLLC NPI 1467820068


NPI Information

NPI: 1467820068
Provider Name: YOUR SPECIAL SMILES PLLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
905 SHOSHONE ST N
TWIN FALLS, ID
ZIP 83301
Phone: (208) 859-8449
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YOUR SPECIAL SMILES PLLC is a dental clinic center in Twin Falls, ID. YOUR SPECIAL SMILES PLLC NPI is 1467820068. The provider is registered as an organization entity type.

The provider's business location address is:

905 SHOSHONE ST N
TWIN FALLS, ID
ZIP 83301-363
Phone: (208) 859-8449

The provider's authorized official is Brooke Marie-osgood Fukuoka .
The authorized official title is Owner and has the following contact phone number (208) 859-8449.

The enumeration date for this NPI number is 9/14/2015 and was last updated on 9/14/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QD0000XClinic/CenterDental4533IDAHOYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.