OrganizationActive
Alligator Pediatric Dentistry ,PLLC
NPI 1679747588 · Pediatric Dentistry · Ammon, ID
Alligator Pediatric Dentistry ,PLLC is a Pediatric Dentistry organization in Ammon, ID (NPI 1679747588).
Provider details
- NPI number
- 1679747588
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Randy Smith, Owner(208) 542-1333
- License
- D3257PD (ID)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
2805 Eagle Drive
Ammon, ID 83406
Phone: (208) 542-1333
Fax: (208) 552-7296
Street-level locationGet directions
Mailing address
2805 Eagle Drive
Ammon, ID 83406
Registry dates
- Enumerated
- 2008-04-22
- Last updated
- 2024-04-08
Frequently asked questions
- What is Alligator Pediatric Dentistry ,PLLC's NPI number?
- Alligator Pediatric Dentistry ,PLLC's National Provider Identifier (NPI) is 1679747588, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Alligator Pediatric Dentistry ,PLLC?
- Alligator Pediatric Dentistry ,PLLC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Alligator Pediatric Dentistry ,PLLC located?
- Alligator Pediatric Dentistry ,PLLC's practice location on file with NPPES is 2805 Eagle Drive, Ammon, ID 83406.
- What is Alligator Pediatric Dentistry ,PLLC's phone number?
- The practice phone number listed in the NPPES registry for Alligator Pediatric Dentistry ,PLLC is (208) 542-1333.
- Who is the authorized official for Alligator Pediatric Dentistry ,PLLC?
- The authorized official listed on Alligator Pediatric Dentistry ,PLLC's NPPES record is Randy Smith, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Alligator Pediatric Dentistry ,PLLC's NPI active?
- Yes — Alligator Pediatric Dentistry ,PLLC's NPI (1679747588) is active in the NPPES registry as of the last update on 2024-04-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.