| Chubbuck Kidz Dental Pc | |
|
371 E Chubbuck Rd Chubbuck ID 83202 | |
| (208) 358-8871 | |
| Not Available |
| Full Name | Chubbuck Kidz Dental Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 371 E Chubbuck Rd, Chubbuck, Idaho |
| Authorized Official Name and Position | Magdalena Evans (SR. CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 7202727558 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chubbuck Kidz Dental Pc 371 E Chubbuck Rd Chubbuck ID 83202 Ph: (208) 425-7690 | Chubbuck Kidz Dental Pc 371 E Chubbuck Rd Chubbuck ID 83202 Ph: (208) 358-8871 |
| NPI Number | 1801679287 |
|---|---|
| Provider Enumeration Date | 08/17/2023 |
| Last Update Date | 08/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801679287 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
Hancock Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 485 W Chubbuck Rd Ste A, Chubbuck, ID 83202 Phone: 208-234-1006 Fax: 208-234-8990 |