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Active NPI 1548843980 Individual Practitioner Male Practitioner

Dr. Samuel R Smith , DDS

Dentist • Shelley, ID

Professional Overview & Biography Verified Profile Summary

Dr. Samuel Smith, DDS is a registered healthcare professional specializing in Dentist in Shelley, ID. Practice services are available at 295 ANDERSON RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

295 Anderson Rd

Shelley, ID 832744927

Telephone 2083577900
Fax 2083577904

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Shelley, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
3 Specialists

Practicing in Shelley, ID (448 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-11-18
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License ID D-5496

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Curtis Carpenter , DDS

Dentist - General Practice

NPI 1760631949

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location November 18, 2025

Registered at 295 ANDERSON RD, SHELLEY, ID 832744927 (Tel: 2083577900)

📍
Updated Business Mailing Address November 18, 2025

Registered at 3867 AMARILLO DR, AMMON, ID 834065142 (Tel: 8016330768)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 18, 2025

Dentist (License #D-5496 in ID)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 18, 2021

Dentist (License #DD5451 in NM)

NPI Profile Active May 03, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location May 03, 2021

Registered at 1601 S SECOND ST, GALLUP, NM 873015816 (Tel: 5057224422)

📍
Updated Business Mailing Address May 03, 2021

Registered at 1702 PLACIDA DR, GALLUP, NM 873015750 (Tel: 8016330768)

👤
Provider Name / Credentials Updated May 03, 2021

Recorded as SAMUEL SMITH, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 03, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 03, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1548843980
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 03, 2021
Last Update: November 18, 2025
Sole Proprietor: Yes

Mailing Address

3867 Amarillo Dr

Ammon, ID 834065142

Phone: 8016330768

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.