Dan Streeby, D.d.s. | |
450 W State St Ste 180 Eagle ID 83616-6974 | |
(208) 939-0600 | |
(208) 939-0774 |
Full Name | Dan Streeby, D.d.s. |
---|---|
Speciality | Dentist - Pediatric Dentistry |
Location | 450 W State St Ste 180, Eagle, Idaho |
Authorized Official Name and Position | Dan Robert Streeby (OWNER) |
Authorized Official Contact | 2089390600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dan Streeby, D.d.s. 450 W State St Ste 180 Eagle ID 83616-6974 Ph: (208) 939-0600 | Dan Streeby, D.d.s. 450 W State St Ste 180 Eagle ID 83616-6974 Ph: (208) 939-0600 |
NPI Number | 1861015653 |
---|---|
Provider Enumeration Date | 05/27/2020 |
Last Update Date | 05/27/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861015653 | NPI | - | NPPES |
28911 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
Lighthouse Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1177 N Eagle Rd, Eagle, ID 83616 Phone: 208-939-3010 Fax: 208-939-3027 | |
Donald E Larson Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 E State St, Suite 100, Eagle, ID 83616 Phone: 208-939-3500 Fax: 208-939-3837 | |
Eagle Dental Partnership Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 577 E State St, Eagle, ID 83616 Phone: 208-342-4644 | |
Premier Dentistry Of Eagle Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 467 S Rivershore Ln, Eagle, ID 83616 Phone: 208-938-1247 | |
Eagle Oral Surgery And Dental Implant Center Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 197 W State St, Eagle, ID 83616 Phone: 208-995-2865 | |
Hathaway And Pelletier Family Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1217 E Iron Eagle Dr, Eagle, ID 83616 Phone: 208-377-1161 Fax: 208-938-0567 | |
Evan Hathaway Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1217 E Iron Eagle Dr, Eagle, ID 83616 Phone: 208-377-1161 Fax: 208-938-0567 |