| Gregory S Holbrook, Dmd, Pc | |
|
1301 Main St Suite 9 Salmon ID 83467-4451 | |
| (208) 756-2899 | |
| (208) 756-4686 |
| Full Name | Gregory S Holbrook, Dmd, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1301 Main St, Salmon, Idaho |
| Authorized Official Name and Position | Gregory S Holbrook (PRESIDENT) |
| Authorized Official Contact | 2087562899 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory S Holbrook, Dmd, Pc 1301 Main St Suite 9 Salmon ID 83467-4451 Ph: (208) 756-2899 | Gregory S Holbrook, Dmd, Pc 1301 Main St Suite 9 Salmon ID 83467-4451 Ph: (208) 756-2899 |
| NPI Number | 1144490046 |
|---|---|
| Provider Enumeration Date | 03/06/2008 |
| Last Update Date | 03/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144490046 | NPI | - | NPPES |
| 006084 | Other | DELTA DENTAL | |
| 9201997 | Other | METLIFE | |
| 00087549 | Other | UNITED CONCORDIA | |
| 6A135 | Other | ID | BLUE CROSS OF IDAHO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D-3250 (Idaho) | Primary |
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