Doctor profile · Federal record
Dr. Randall Smith
Pediatric Dentist · Ammon, ID
- NPI 1659412724
- 19 yrs on file
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
2805 Eagle Drive
Ammon, ID 83406
(208) 542-1333
fax (208) 552-7296
Credentials & registration
- NPI registered
- February 2007 — 19 yrs on file
- Profile last updated
- April 8, 2024
- Specialty taxonomy
- 1223P0221X — NUCC code
- State license (1)
- Idaho #D3257PD
- Medicaid
- ID #804126800
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1659412724. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$200
Transactions
3
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| A-dec, Inc. | 3 | $199.50 |
By nature of payment
Frequently asked questions
What is Dr. Randall Smith's medical specialty?
Dr. Randall Smith practices Pediatric Dentist in Ammon, ID.
Where does Dr. Randall Smith practice?
Dr. Randall Smith practices at 2805 Eagle Drive, Ammon, ID 83406. Office phone: 2085421333.
What is Dr. Randall Smith's NPI?
Dr. Randall Smith's National Provider Identifier (NPI) is 1659412724, issued by NPPES.