| Bird Family Dental Idaho Falls, Pllc | |
|
2960 Cortez Ave Idaho Falls ID 83404-7554 | |
| (208) 680-5144 | |
| (208) 680-5144 |
| Full Name | Bird Family Dental Idaho Falls, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2960 Cortez Ave, Idaho Falls, Idaho |
| Authorized Official Name and Position | Jayson Anders Bird (OWNER/PRESIDENT) |
| Authorized Official Contact | 2086805144 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bird Family Dental Idaho Falls, Pllc 1392 N 800 E Shelley ID 83274-5013 Ph: () - | Bird Family Dental Idaho Falls, Pllc 2960 Cortez Ave Idaho Falls ID 83404-7554 Ph: (208) 680-5144 |
| NPI Number | 1508378647 |
|---|---|
| Provider Enumeration Date | 10/30/2017 |
| Last Update Date | 10/30/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508378647 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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