| Hoover Dental | |
|
1520 Elk Creek Dr Idaho Falls ID 83404-8322 | |
| (208) 524-4668 | |
| Not Available |
| Full Name | Hoover Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1520 Elk Creek Dr, Idaho Falls, Idaho |
| Authorized Official Name and Position | Jeffrey Allan Hoover (OWNER) |
| Authorized Official Contact | 2085244668 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hoover Dental 1520 Elk Creek Dr Idaho Falls ID 83404-8322 Ph: () - | Hoover Dental 1520 Elk Creek Dr Idaho Falls ID 83404-8322 Ph: (208) 524-4668 |
| NPI Number | 1780904623 |
|---|---|
| Provider Enumeration Date | 06/02/2010 |
| Last Update Date | 06/02/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780904623 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D3085 (Idaho) | Primary |
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