| Harris Dental | |
|
3815 Washington Pkwy Idaho Falls ID 83404 | |
| (208) 529-4500 | |
| Not Available |
| Full Name | Harris Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3815 Washington Pkwy, Idaho Falls, Idaho |
| Authorized Official Name and Position | Jay M Harris (DENTIST) |
| Authorized Official Contact | 2085294500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Harris Dental 3815 Washington Pkwy Idaho Falls ID 83404 Ph: (208) 529-4500 | Harris Dental 3815 Washington Pkwy Idaho Falls ID 83404 Ph: (208) 529-4500 |
| NPI Number | 1760686679 |
|---|---|
| Provider Enumeration Date | 06/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760686679 | NPI | - | NPPES |
| 852027 | Other | ID | INSURANCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1641 (Idaho) | Primary |
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