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Alligator Pediatric Dentistry ,Pllc

Pediatric Dentistry in Ammon, ID · enumerated 2008 · authorized official Randy Smith, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1679747588

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Registry record

Entity type Organization (Type 2)
Legal business name Alligator Pediatric Dentistry ,Pllc
Practice address 2805 Eagle Drive, Ammon, ID, 83406
Fax (208) 552-7296
Enumeration date Apr 22, 2008
Last updated in NPPES Apr 8, 2024

Taxonomy & classification

1223P0221X Pediatric Dentistry Dental Providers · License D3257PD (ID) Primary

Authorized official

Name Randy Smith
Title Owner

Other identifiers

Identifier Type State Issuer
8041268000 Medicaid ID -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Alligator Pediatric Dentistry ,Pllc?
The NPI for Alligator Pediatric Dentistry ,Pllc is 1679747588, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Alligator Pediatric Dentistry ,Pllc?
NPPES lists Randy Smith (Owner) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-04-08.