Smiles 4 Kids, LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

D-4351-PD Issued in ID

Legal business name

SMILES 4 KIDS, LLC

Practice address

1411 Falls Ave E Ste 1000C
Twin Falls, ID 83301-3459

Phone

(208) 734-7415

Fax

(208) 733-1922

NPI assigned

Sep 9, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Trevor Smith, DMD

Title

Owner

Phone

(208) 734-7415

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463356800000",
    "number": "1811146327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 FALLS AVE E STE 1000C",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013459",
            "telephone_number": "208-734-7415",
            "fax_number": "208-733-1922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 FALLS AVE E STE 1000C",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013459",
            "telephone_number": "208-734-7415",
            "fax_number": "208-733-1922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILES 4 KIDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-09",
        "last_updated": "2016-05-16",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TREVOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-734-7415",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "ID",
            "license": "D-4351-PD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexx Sliman, PA
• Cole Small, DPT
• Katie Small, M.S., CCC-SLP
• Lisa Smallwood, OTR/L
• Smilemakers, PLLC
• Smith Pediatric Dentistry P.C
• Camille Smith, D.O.
• Dell P Smith, M.D.
• Donald E Smith, MD
• Heaven Marie Smith, BS, SUDA

• Pediatric Dentistry in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Pediatric Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; 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.