| Care Creek Dental Llc | |
|
1169 Call Creek Dr Ste A Pocatello ID 83201-3077 | |
| (208) 233-8620 | |
| Not Available |
| Full Name | Care Creek Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1169 Call Creek Dr Ste A, Pocatello, Idaho |
| Authorized Official Name and Position | Paul A. Gagnon (DENTIST/OWNER) |
| Authorized Official Contact | 2082338620 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Care Creek Dental Llc 1169 Call Creek Dr Ste A Pocatello ID 83201-3077 Ph: (208) 233-8620 | Care Creek Dental Llc 1169 Call Creek Dr Ste A Pocatello ID 83201-3077 Ph: (208) 233-8620 |
| NPI Number | 1326281163 |
|---|---|
| Provider Enumeration Date | 04/09/2009 |
| Last Update Date | 04/09/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326281163 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D-3946 (Idaho) | Primary |
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