| Baker Pediatric Dentistry | |
|
1900 John Adams Pkwy Idaho Falls ID 83401 | |
| (208) 524-0644 | |
| (208) 524-6100 |
| Full Name | Baker Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1900 John Adams Pkwy, Idaho Falls, Idaho |
| Authorized Official Name and Position | Thomas Cecil Baker (OWNER) |
| Authorized Official Contact | 2085240644 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Baker Pediatric Dentistry 1900 John Adams Pkwy Idaho Falls ID 83401 Ph: (208) 524-0644 | Baker Pediatric Dentistry 1900 John Adams Pkwy Idaho Falls ID 83401 Ph: (208) 524-0644 |
| NPI Number | 1407211725 |
|---|---|
| Provider Enumeration Date | 12/31/2015 |
| Last Update Date | 06/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407211725 | NPI | - | NPPES |
| 28510 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
Sunnyside Dental Care Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1520 Elk Creek Dr, Idaho Falls, ID 83404 Phone: 208-522-8854 | |
Soft Touch Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3350 S 15 Th E, Idaho Falls, ID 83404 Phone: 208-522-4700 | |
Id Dental Associates, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2818 S 25th E, Idaho Falls, ID 83404 Phone: 208-243-8391 Fax: 208-243-8391 | |
Mccord Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3411 Merlin Dr, Idaho Falls, ID 83404 Phone: 208-529-8333 | |
Mongillo Orthodontics, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 250 S Skyline Dr Ste 4, Idaho Falls, ID 83402 Phone: 208-524-1404 | |
Sleep Better Idaho Falls Llc Dental Clinic Medicare: Medicare Enrolled Practice Location: 2238 Saratoga Dr, Idaho Falls, ID 83404 Phone: 208-701-2720 Fax: 208-701-2939 | |
Taylorview Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3315 S Holmes Ave, Idaho Falls, ID 83404 Phone: 208-522-4491 Fax: 208-522-4662 |