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INNOVATIVE SLEEP & TMJ CENTER PLLC
NPI 1124892773
Dentist - General Practice in Meridian, ID

Active since November 14, 2023
1720 W MCMILLAN RD, MERIDIAN, ID 83646(208) 216-6110 Get Directions Write a Review

NPPES record last updated: November 21, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 21, 2024, Nov 14, 2023 (2 updates tracked since 2023).

About Innovative Sleep & Tmj Center Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INNOVATIVE SLEEP & TMJ CENTER PLLC (NPI 1124892773) is a healthcare organization registered as a general practice in Meridian, Idaho and active in the NPI registry since November 2023. The organization lists Randall B Smith, Manager, as its authorized official.

NPPES Registry Identity

NPI1124892773
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameINNOVATIVE SLEEP & TMJ CENTER PLLC
Location Address1720 W MCMILLAN RDMeridian, ID 83646-6892
Mailing Address1720 W Mcmillan RdMeridian, ID 83646-6892 · (208) 216-6110
Phone(208) 216-6110
Organization SubpartNo
Authorized OfficialRandall B SmithManager · (208) 870-6288
Enumeration DateNovember 14, 2023
Last NPPES UpdateNovember 21, 20242 updates tracked since enumeration
NPPES CertifiedNovember 21, 2024
✔ NPI 1124892773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDurable Medical Equipment & Medical Supplies · Customized EquipmentTaxonomy 332BC3200X
1720 W MCMILLAN RD, Meridian, ID 83646
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EASTON GRANT ELLIS DDS
Dentist (General Practice)
1720 W MCMILLAN RD
MERIDIAN, ID 83646
Ada County (208) 216-1718
MCMILLAN FAMILY DENTAL PLLC
Clinic/Center (Dental)
1720 W MCMILLAN RD
MERIDIAN, ID 83646
Ada County (208) 216-6110

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Innovative Sleep & Tmj Center PLLC's NPI number?

The NPI number for Innovative Sleep & Tmj Center PLLC is 1124892773. It was assigned to this organization in the NPPES registry on November 14, 2023.

Where is Innovative Sleep & Tmj Center PLLC located?

Innovative Sleep & Tmj Center PLLC is located at 1720 W Mcmillan Rd, Meridian, ID 83646. The listed phone number is (208) 216-6110.

What is Innovative Sleep & Tmj Center PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Innovative Sleep & Tmj Center PLLC was last updated on November 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.