| Dental Center P.l.l.c. | |
|
815 N 6th E Mountain Home ID 83647-2207 | |
| (208) 587-7949 | |
| (208) 587-2978 |
| Full Name | Dental Center P.l.l.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 815 N 6th E, Mountain Home, Idaho |
| Authorized Official Name and Position | R. Terry Hall (OWNER) |
| Authorized Official Contact | 2085877949 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Center P.l.l.c. 815 N 6th E Mountain Home ID 83647-2207 Ph: (208) 587-7949 | Dental Center P.l.l.c. 815 N 6th E Mountain Home ID 83647-2207 Ph: (208) 587-7949 |
| NPI Number | 1144335886 |
|---|---|
| Provider Enumeration Date | 08/21/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144335886 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D3126 (Idaho) | Primary |
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