McMillan Family Dental PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MCMILLAN FAMILY DENTAL PLLC

Practice address

1720 W McMillan Rd
Meridian, ID 83646-6892

Phone

(208) 216-6110

Fax

(208) 639-1357

NPI assigned

Aug 30, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Randall B Smith, DMDNPI 1639264658

Title

Owner

Phone

(208) 888-2026

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Randall B Smith, D.M.D.

  • General Practice Dentistry
  • Meridian, ID
  • NPI 1639264658
  NPD Authorized official
• Jake D Gerard, D.M.D.

  • General Practice Dentistry
  • Meridian, ID
  • NPI 1750549325
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1535587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643155200000",
    "number": "1275015950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 W MCMILLAN RD",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836466892",
            "telephone_number": "208-216-6110",
            "fax_number": "208-639-1357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 W MCMILLAN RD",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836466892",
            "telephone_number": "208-216-6110",
            "fax_number": "208-639-1357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCMILLAN FAMILY DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-30",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-888-2026",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark McLaughlin
• Amber Rochelle McLemore, LMSW
• Carolina McLemore, LMSW
• Kristi J. McMahan, D.P.T.
• Nancy I McMahan, LCPC
• Andrew Don McMurray, PA-C
• Cassidy McMurray, DPT
• James McMurray, DPT
• John Driggs McMurray, DDS
• Jessica Rose McQueary, NP

• Dental Clinic/Center in Meridian, ID
• Providers in Meridian, ID by specialty
• Dental Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.