| Dr John C. Roberts/dr Kevin W. Hall | |
|
256 Martin St Twin Falls ID 83301-4542 | |
| (208) 733-5346 | |
| (208) 736-7082 |
| Full Name | Dr John C. Roberts/dr Kevin W. Hall |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 256 Martin St, Twin Falls, Idaho |
| Authorized Official Name and Position | John C Roberts (DENTIST) |
| Authorized Official Contact | 2087335346 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John C. Roberts/dr Kevin W. Hall 256 Martin St Twin Falls ID 83301-4542 Ph: (208) 733-5346 | Dr John C. Roberts/dr Kevin W. Hall 256 Martin St Twin Falls ID 83301-4542 Ph: (208) 733-5346 |
| NPI Number | 1558479246 |
|---|---|
| Provider Enumeration Date | 08/25/2006 |
| Last Update Date | 09/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558479246 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D3166 (Idaho) | Secondary |
| 261QD0000X | Clinic/center - Dental | D3520 (Idaho) | Primary |
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