P Praxis·MD
● Active Type 1 · Individual

DR. Samuel G. Smith, D.M.D.,M.S.

Dentist·Boise, ID· NPI 1013920313 · Enumerated 2006 · 19 years on NPI
Smith is 1 of 24 dentist providers in Boise and 1 of 135 in Idaho.
NPI age
19 years
Enumerated 2006-08-15
Primary specialty
Dentist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 135 active dentist providers in Idaho.

NPI age
19 years
≈ at median (18 yr)
State licenses
1 state
14% of peers hold multiple states
Subspecialties
0
17% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-08Enumerated in NPPES
2006 2026

Where they practice

Practice location
1541 S. Times Square
Boise, ID 83709
📞 2083217006fax 2083754647
Mailing address
1541 S. Times Square
Boise, ID 83709
📞 2083217006fax 2083754647

Specialties

  • Dentist Primary
    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...
    ID license #D-3549-OR taxonomy 1223X0400X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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