Coeur D' Alene Oral Surgery | |
1027 E Sherman Ave Coeur D Alene ID 83814-4152 | |
(208) 667-0655 | |
(208) 667-5745 |
Full Name | Coeur D' Alene Oral Surgery |
---|---|
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 1027 E Sherman Ave, Coeur D Alene, Idaho |
Authorized Official Name and Position | Thomas G Walsh (OWNER) |
Authorized Official Contact | 2086670655 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Coeur D' Alene Oral Surgery 1027 E Sherman Ave Coeur D Alene ID 83814-4152 Ph: (208) 667-0655 | Coeur D' Alene Oral Surgery 1027 E Sherman Ave Coeur D Alene ID 83814-4152 Ph: (208) 667-0655 |
NPI Number | 1023398716 |
---|---|
Provider Enumeration Date | 08/25/2011 |
Last Update Date | 08/25/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023398716 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | D-1578-OS (Idaho) | Primary |
Cherilee C Bloom Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 815 W Canfield Ave, Coeur D Alene, ID 83815 Phone: 108-762-2544 Fax: 208-762-9563 | |
Sleep Apnea & Breathing Therapy Northwest, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2615 N Fruitland Ln, Coeur D Alene, ID 83815 Phone: 208-660-4880 | |
Marston T Westbrook , Dds, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 980 W Ironwood Dr, Suite 301, Coeur D Alene, ID 83814 Phone: 208-664-0844 Fax: 208-664-9682 | |
Coeur D Alene Family Dentisrty Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2201 N Government Way, Suite G, Coeur D Alene, ID 83814 Phone: 208-664-9129 Fax: 208-664-9120 | |
Daniel B. Davidson Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 509 W Hanley Ave, Suite 201, Coeur D Alene, ID 83815 Phone: 208-667-5447 Fax: 208-666-8918 | |
Jaeger Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1717 Lincoln Way, #203, Coeur D Alene, ID 83814 Phone: 208-667-3341 |