Marie Smith

General Practice Dentistry · Hayden, ID

Individual Active NPI

NPI number 1164976635

Practice location

8636 N Wayne Dr
Hayden, ID 83835-5084
Phone
(208) 762-1555

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NPI record

NPI
1164976635
Entity type
Individual (Type 1)
Enumeration date
August 12, 2016
Last updated
October 21, 2025
Certified
October 21, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X D4783 ID

About Marie Smith

Marie Smith is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 8636 N Wayne Dr, Hayden, ID 83835-5084. The NPI number 1164976635 was assigned on August 12, 2016 and the record was last updated on October 21, 2025.

Marie Smith lists a license in the registry: #D4783 (ID) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Marie Smith?

The NPI number is 1164976635.

What is the phone number of Marie Smith?

The phone number listed for the practice location is (208) 762-1555.

Where is Marie Smith located?

8636 N Wayne Dr, Hayden, ID 83835-5084.

What is the taxonomy code for Marie Smith?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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