IndividualActive
Elizabeth Smith, DDS, MSD
NPI 1396965018 · Orthodontics and Dentofacial Orthopedics Dentistry · Star, ID
Provider details
- NPI number
- 1396965018
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- DDS, MSD
- Sex
- Female
- Sole proprietor
- No
- License
- 12010466A (IN)
Specialties & taxonomies
Dental Providers
Practice location
9876 W State St
Star, ID 83669-5210
Phone: (208) 898-0000
Approximate (ZIP-level) locationGet directions
Mailing address
1151 N Creekwater Way
Eagle, ID 83616-4853
Registry dates
- Enumerated
- 2007-04-26
- Last updated
- 2023-01-25
- Certified
- 2023-01-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.