Bearable Dentistry | |
1410 S Main St Moscow ID 83843-8930 | |
(208) 882-3214 | |
Not Available |
Full Name | Bearable Dentistry |
---|---|
Speciality | Dentist - General Practice |
Location | 1410 S Main St, Moscow, Idaho |
Authorized Official Name and Position | Linda Gordon (DIRECTOR OF INSURANCE COORDINATION) |
Authorized Official Contact | 2088823214 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Bearable Dentistry 1410 S Main St Moscow ID 83843-8930 Ph: (208) 882-3214 | Bearable Dentistry 1410 S Main St Moscow ID 83843-8930 Ph: (208) 882-3214 |
NPI Number | 1780606616 |
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Provider Enumeration Date | 07/23/2006 |
Last Update Date | 03/07/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780606616 | NPI | - | NPPES |
CS9246 | Other | ID | CONTROLLED SUBSTANCE NUMB |
D-3556 | Other | ID | DENTAL |
D-3565 | Other | ID | DENTAL |
CS2043 | Other | ID | CONTROLLED SUBSTANCE # |
CS9172 | Other | ID | CONTROLLED SUBSTANCE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (Idaho) | Primary |
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