Natural Smile Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D3537 Issued in ID

Legal business name

NATURAL SMILE DENTAL PLLC

Doing business as

Star Dental

Practice address

10706 W State St
Suite 105
Star, ID 83669

Phone

(208) 286-9890

Fax

(208) 286-9924

NPI assigned

Oct 25, 2007

Last updated

Oct 25, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Karle D Murray

Title

Office Manager

Phone

(208) 286-9890

Specialties & licenses 3

Addresses

Other names 1

• Star Dental Doing business as

Locations

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1639358773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 178",
            "city": "STAR",
            "state": "ID",
            "postal_code": "83669",
            "telephone_number": "208-286-9890",
            "fax_number": "208-286-9924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10706 W STATE ST",
            "address_2": "SUITE 105",
            "city": "STAR",
            "state": "ID",
            "postal_code": "83669",
            "telephone_number": "208-286-9890",
            "fax_number": "208-286-9924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATURAL SMILE DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "KARLE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "208-286-9890",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D3537",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D3609",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D4009",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Star Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patricia Dianne Martelle, LCSW
• Nathan R. Mason, MD
• Lorelle Miller
• Carole Jane Milstead
• Jessica Myers, SLP
• New Heights Speech & Language Therapy, LLC
• Nichols Therapy Group PC (NorthStar Physical Therapy)
• Brian David Nichols, MPT ATC
• Judianne King Nichols, MPT
• Nitai Truenorth Counseling LLC

• General Practice Dentistry in Star, ID
• Providers in Star, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; 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.