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DR. RANDALL G. SMITH
NPI 1659412724
Dentist - Pediatric Dentistry in Ammon, ID

Active since February 09, 2007
2805 EAGLE DRIVE, AMMON, ID 83406(208) 542-1333(208) 552-7296 Get Directions Write a Review

NPPES record last updated: April 8, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Apr 8, 2024, Jan 16, 2020 (2 updates tracked since 2020).

About Dr. Randall G. Smith NPPES

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

DR. RANDALL G. SMITH (NPI 1659412724) is an individual pediatric dentistry provider in Ammon, Idaho, licensed in Idaho (D3257PD) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1659412724
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. RANDALL G. SMITH
Location Address2805 EAGLE DRIVEAmmon, ID 83406
Mailing Address2805 Eagle DriveAmmon, ID 83406 · (208) 542-1333 · Fax (208) 552-7296
Phone(208) 542-1333
Fax(208) 552-7296
Sole ProprietorYes
Enumeration DateFebruary 9, 2007
Last NPPES UpdateApril 8, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2020
✔ NPI 1659412724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in ID · D3257PD
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
2805 EAGLE DRIVE, Ammon, ID 83406
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Other Names 1

Professional Name (2)Randy G. Smith D,d,s.

Other Identifiers 2

Other6C024ID · Blue Cross Of Idaho
Medicaid804126800ID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Other Providers at the Same Location NPPES

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

ALLIGATOR PEDIATRIC DENTISTRY ,PLLC
Dentist (Pediatric Dentistry)
2805 EAGLE DRIVE
AMMON, ID 83406
Bonneville County (208) 542-1333

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 Randall Smith's NPI number?

The NPI number for Randall Smith is 1659412724. It was assigned to this individual provider in the NPPES registry on February 9, 2007. The provider is also known as Randy G. Smith D,d,s..

Where is Randall Smith located?

Randall Smith practices at 2805 Eagle Drive, Ammon, ID 83406. The listed phone number is (208) 542-1333.

What is Randall Smith's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Randall Smith accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 7 other insurers list Randall Smith as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Randall Smith was last updated on April 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.