Innovative Sleep & Tmj Center Pllc
General Practice
1720 W Mcmillan Rd, Meridian
Idaho, 83646-6892
208-216-6110 Innovative Sleep & Tmj Center Pllc is a General Practice in Meridian, Idaho. It is located at 1720 W Mcmillan Rd, Meridian and it's customer support contact number is 208-216-6110. The authorized person of Innovative Sleep & Tmj Center Pllc is Dr. Randall B Smith, DMD who is Manager of this DME and his contact number is 208-870-6288. Innovative Sleep & Tmj Center Pllc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Innovative Sleep & Tmj Center Pllc is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
DME Supplier Details:
Innovative Sleep & Tmj Center Pllc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Innovative Sleep & Tmj Center Pllc |
| Type: | General Practice |
| Location: | 1720 W Mcmillan Rd, Meridian,
Idaho, 83646-6892 |
| Phone: | 208-216-6110 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Randall B Smith |
| Credentials: | DMD |
| Position: | Manager |
| Contact Number: | 208-870-6288 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1124892773 |
| NPI Enumeration Date: | 14 Nov, 2023 |
| NPI Last Update On: | 21 Nov, 2024 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Innovative Sleep & Tmj Center Pllc are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | | | Primary | |
| Customized Equipment | | | Secondary | |
Medicare Enrollment:
Innovative Sleep & Tmj Center Pllc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 4688018146 | O20240223000235 | Innovative Sleep & Tmj Center Pllc | DME SUPPLIER - ORAL SURGERY - DENTIST |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1720 W Mcmillan Rd,
Meridian, Idaho |
| Zip: | 83646-6892 |
| Phone Number: | 208-216-6110 |
Patients can reach Innovative Sleep & Tmj Center Pllc at
1720 W Mcmillan Rd, Meridian, Idaho or can
call on customer care at 208-216-6110.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.