| Comfort Care Dental Of Idaho Falls, Pllc | |
|
3550 Washington Pkwy Idaho Falls ID 83404-4968 | |
| (208) 524-2300 | |
| (208) 545-8447 |
| Full Name | Comfort Care Dental Of Idaho Falls, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3550 Washington Pkwy, Idaho Falls, Idaho |
| Authorized Official Name and Position | Philip Harper (OWNER/DENTIST) |
| Authorized Official Contact | 2085242300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Comfort Care Dental Of Idaho Falls, Pllc 3550 Washington Pkwy Idaho Falls ID 83404-4968 Ph: (208) 524-2300 | Comfort Care Dental Of Idaho Falls, Pllc 3550 Washington Pkwy Idaho Falls ID 83404-4968 Ph: (208) 524-2300 |
| NPI Number | 1679704647 |
|---|---|
| Provider Enumeration Date | 08/07/2009 |
| Last Update Date | 03/13/2019 |
| Medicare PECOS PAC ID | 9830453166 |
|---|---|
| Medicare Enrollment ID | O20180514000968 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679704647 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D4056 (Idaho) | Primary |
| 261QD0000X | Clinic/center - Dental | D4164 (Idaho) | Secondary |
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