| Id Sds Ii Pllc | |
|
625 E Alameda Rd Pocatello ID 83201-3622 | |
| (208) 237-0005 | |
| Not Available |
| Full Name | Id Sds Ii Pllc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 625 E Alameda Rd, Pocatello, Idaho |
| Authorized Official Name and Position | Charlotte E Vial (DIREC OF CRED AND PROV REL) |
| Authorized Official Contact | 6156380303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Id Sds Ii Pllc 1610 54th Ave N Ste 205 Nashville TN 37209-1442 Ph: (615) 678-0759 | Id Sds Ii Pllc 625 E Alameda Rd Pocatello ID 83201-3622 Ph: (208) 237-0005 |
| NPI Number | 1861265647 |
|---|---|
| Provider Enumeration Date | 11/02/2023 |
| Last Update Date | 11/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861265647 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
Id Specialty Dental Services, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 625 E Alameda Rd, Pocatello, ID 83201 Phone: 208-237-0005 | |
Smiles By Design Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 135 Warren Ave, Pocatello, ID 83201 Phone: 208-237-6453 Fax: 208-233-4227 | |
Comfort Care Dental Of Pocatello Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 W Cedar St, Pocatello, ID 83201 Phone: 208-233-5362 Fax: 208-234-8056 | |
Desert Valley Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 716 Yellowstone Ave, Pocatello, ID 83201 Phone: 208-478-1295 Fax: 208-232-5490 | |
Larsen Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 950 Hospital Way, Suite B, Pocatello, ID 83201 Phone: 208-233-7007 Fax: 208-233-2512 | |
Kidds Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 716 Yellowstone Ave, Pocatello, ID 83201 Phone: 208-478-5437 Fax: 208-232-5490 | |
Dr Darryl D Bybee Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1169 Call Creek Pl, Suite A, Pocatello, ID 83201 Phone: 208-233-8620 |