NPI age
10 years
Enumerated 2015-09-14
● Active Type 2 · Organization
Your Special Smiles Pllc
Your Special Smiles Pllc is 1 of 202 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Fukuoka
Owner
Last NPPES update
2015-09-14
Source: monthly bulk 2026-05
How this organization compares
Across 202 active clinic/center providers in Idaho.
NPI age
10 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2015 → 2026
2015-09Enumerated in NPPES
2015
2026
Where they practice
Primary practice location
905 Shoshone St N
Twin Falls, ID 833016363
Mailing address
Po Box 195
Jerome, ID 833380195
Authorized official
Brooke Marie-Osgood Fukuoka, DMD
Owner
📞 2088598449
Specialties
-
Clinic/Center PrimaryDefinition to come...
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.