| Bird Family Dental, Pllc | |
|
8 N Division St Pinehurst ID 83850 | |
| (208) 682-4540 | |
| Not Available |
| Full Name | Bird Family Dental, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 8 N Division St, Pinehurst, Idaho |
| Authorized Official Name and Position | Jayson Anders Bird (OWNER) |
| Authorized Official Contact | 2086805144 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bird Family Dental, Pllc Po Box 609 Pinehurst ID 83850-0609 Ph: (208) 682-4540 | Bird Family Dental, Pllc 8 N Division St Pinehurst ID 83850 Ph: (208) 682-4540 |
| NPI Number | 1992143978 |
|---|---|
| Provider Enumeration Date | 06/12/2013 |
| Last Update Date | 06/12/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992143978 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D-4491 (Idaho) | Primary |
Michael J Claymore Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8 N Division Street, Pinehurst, ID 83850 Phone: 208-682-4540 Fax: 208-682-2339 |