| Dr Gliddens Family Dentistry | |
|
103 Superior St Sandpoint ID 83864-1394 | |
| (208) 263-8514 | |
| Not Available |
| Full Name | Dr Gliddens Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 103 Superior St, Sandpoint, Idaho |
| Authorized Official Name and Position | Phillip Arnold Glidden (PRESIDENT) |
| Authorized Official Contact | 2082638514 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gliddens Family Dentistry 103 Superior St Sandpoint ID 83864-1394 Ph: (208) 263-8514 | Dr Gliddens Family Dentistry 103 Superior St Sandpoint ID 83864-1394 Ph: (208) 263-8514 |
| NPI Number | 1083735195 |
|---|---|
| Provider Enumeration Date | 04/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083735195 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D1968 (Idaho) | Primary |
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