Dr. Glen Allen Smith, DDS MS - Boise, ID

Dr. Glen Allen Smith, DDSMS

Orthodontics and Dentofacial Orthopedic Dentist in Boise, Idaho

NPI 1154338812

Glen Allen Smith is a Orthodontics and Dentofacial Orthopedic Dentist based in Meridian, ID and is specialized in Orthodontics and Dentofacial Orthopedics. Glen Allen Smith practices in Boise, ID and has the professional credentials of DDSMS. The NPI Number for Glen Allen Smith is 1154338812 and holds a License No. D30360R (Idaho).

The current practice location address for Glen Allen Smith is 4725 N Cloverdale Rd, Boise, ID and can be reached out via phone at 208-323-4458 and via fax at 208-321-1706. You can also correspond with Glen Allen Smith through the mailing address at 869 E ANTILLES CRT, MERIDIAN, ID - 83642 (mailing address contact number: 208-887-1718).

Location: 4725 N Cloverdale Rd, Boise, ID, 83642

NPI Number

1154338812

Provider Name

Glen Allen Smith

Credential

DDSMS

Provider Entity Type

Individual

Gender

Male

Address

4725 N Cloverdale Rd, Boise, ID, 83642

Phone Number

208-323-4458

Fax Number

208-321-1706

Provider Enumeration Date

08/02/2006

Last Update Date

03/08/2024

Identifier	Type	State	Issuer
6L271	01		BLUE CROSS ID
734506	01		UNITED CONCORDIA

Address

4725 N Cloverdale Rd

City

Boise

State

Idaho

Zip

83713

Phone Number

208-323-4458

Fax Number

208-321-1706

Address

4725 N Cloverdale Rd

City

Boise

State

Idaho

Zip

83713

Phone Number

208-323-4458

Fax Number

208-321-1706

Type

Dental Providers

Classification

Dentist

Speciality

Orthodontics and Dentofacial Orthopedics

Taxonomy

1223X0400X

License No.

D30360R (Idaho)

Definition

That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

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