Blue Creek Endodontics | |
3240 E Louise Dr Suite 110 Meridian ID 83642-5107 | |
(208) 578-4700 | |
(208) 578-4704 |
Full Name | Blue Creek Endodontics |
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Speciality | Dentist - Endodontics |
Location | 3240 E Louise Dr, Meridian, Idaho |
Authorized Official Name and Position | James Anthony Eaton (PRESIDENT) |
Authorized Official Contact | 9012672294 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Blue Creek Endodontics 3240 E Louise Dr Suite 110 Meridian ID 83642-5107 Ph: (208) 578-4700 | Blue Creek Endodontics 3240 E Louise Dr Suite 110 Meridian ID 83642-5107 Ph: (208) 578-4700 |
NPI Number | 1417353830 |
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Provider Enumeration Date | 11/12/2014 |
Last Update Date | 11/12/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417353830 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223E0200X | Dentist - Endodontics | D-4611-EN (Idaho) | Primary |
The Center For Sleep Apnea And Tmj Pa Dental Clinic Medicare: Medicare Enrolled Practice Location: 1718 S. Millennium Way, Meridian, ID 83642 Phone: 208-376-3600 Fax: 208-376-3616 | |
Willow Tree Dental Group Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 317 W Cherry Ln, Meridian, ID 83642 Phone: 208-472-7817 Fax: 208-345-2601 |