Provider Demographics
NPI:1003093691
Name:SMITH, HELEN THU (DDS)
Entity Type:Individual
Prefix:DR
First Name:HELEN
Middle Name:THU
Last Name:SMITH
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:HELEN
Other - Middle Name:THU
Other - Last Name:TRINH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:PO BOX 543
Mailing Address - Street 2:
Mailing Address - City:CALDWELL
Mailing Address - State:ID
Mailing Address - Zip Code:83606-0543
Mailing Address - Country:US
Mailing Address - Phone:650-201-3767
Mailing Address - Fax:
Practice Address - Street 1:8321 W OVERLAND RD
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83709-1640
Practice Address - Country:US
Practice Address - Phone:208-605-3638
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-25
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID53851223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice