| Falls Dental | |
|
239 Idaho St American Falls ID 83211-1235 | |
| (208) 904-3496 | |
| (208) 904-3514 |
| Full Name | Falls Dental |
|---|---|
| Speciality | Dentist |
| Location | 239 Idaho St, American Falls, Idaho |
| Authorized Official Name and Position | David Sterzer (DENTIST) |
| Authorized Official Contact | 2089043496 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Falls Dental 239 Idaho St American Falls ID 83211-1235 Ph: (208) 904-3496 | Falls Dental 239 Idaho St American Falls ID 83211-1235 Ph: (208) 904-3496 |
| NPI Number | 1376922179 |
|---|---|
| Provider Enumeration Date | 05/26/2015 |
| Last Update Date | 05/26/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376922179 | NPI | - | NPPES |
| 002639200 | Medicaid | ID | |
| 807472000 | Medicaid | ID | |
| 1811396708 | Other | ID | NPI |
| 1467543595 | Other | ID | NPI |
| 1760566384 | Other | ID | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D4634 (Idaho) | Primary |
| 122300000X | Dentist | D3963 (Idaho) | Secondary |
| 122300000X | Dentist | D1967 (Idaho) | Secondary |
Power County Dental Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 843 Reed St, American Falls, ID 83211 Phone: 208-226-2976 Fax: 208-226-1068 |