| Grand Peaks Dental | |
|
325 E Main St Saint Anthony ID 83445-1546 | |
| (208) 356-4900 | |
| (208) 624-2265 |
| Full Name | Grand Peaks Dental |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 325 E Main St, Saint Anthony, Idaho |
| Authorized Official Name and Position | Lori K Sessions (CEO) |
| Authorized Official Contact | 2086244100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grand Peaks Dental Po Box 18 Saint Anthony ID 83445-0018 Ph: (208) 356-4900 | Grand Peaks Dental 325 E Main St Saint Anthony ID 83445-1546 Ph: (208) 356-4900 |
| NPI Number | 1053770230 |
|---|---|
| Provider Enumeration Date | 02/17/2016 |
| Last Update Date | 05/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053770230 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Toenjes Brizzee & Orme Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 E 5th N, Saint Anthony, ID 83445 Phone: 208-624-3757 Fax: 208-624-4703 |