IndividualActive
Glen Smith, DDS MS
NPI 1154338812 · Orthodontics and Dentofacial Orthopedics Dentistry · Boise, ID
Provider details
- NPI number
- 1154338812
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- DDS MS
- Sex
- Male
- Sole proprietor
- No
- License
- D30360R (ID)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4725 N Cloverdale Rd
Boise, ID 83713
Phone: (208) 323-4458
Fax: (208) 321-1706
Street-level locationGet directions
Mailing address
869 E Antilles Crt
Meridian, ID 83642
Registry dates
- Enumerated
- 2006-08-02
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.