| Advantage Dental Center | |
|
100 W Overland Rd Meridian ID 83642-3051 | |
| (208) 884-0888 | |
| (208) 895-8533 |
| Full Name | Advantage Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 100 W Overland Rd, Meridian, Idaho |
| Authorized Official Name and Position | Lester Albert Richins (DOCTOR/OWNER) |
| Authorized Official Contact | 2088840888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advantage Dental Center 100 W Overland Rd Meridian ID 83642-3051 Ph: (208) 884-0888 | Advantage Dental Center 100 W Overland Rd Meridian ID 83642-3051 Ph: (208) 884-0888 |
| NPI Number | 1952560278 |
|---|---|
| Provider Enumeration Date | 06/02/2008 |
| Last Update Date | 06/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952560278 | NPI | - | NPPES |
| 001606900 | Medicaid | ID | |
| 6F126 | Other | ID | OTHER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D3186 (Idaho) | Primary |
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