| Id Specialty Dental Services, Pllc | |
|
1327 N Meridian Rd Ste 40 Kuna ID 83634-1761 | |
| (208) 898-0000 | |
| Not Available |
| Full Name | Id Specialty Dental Services, Pllc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1327 N Meridian Rd Ste 40, Kuna, Idaho |
| Authorized Official Name and Position | Charlotte Dasch (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 5046380303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Id Specialty Dental Services, Pllc 401 Church St Ste 1400 Nashville TN 37219-2214 Ph: (504) 638-0303 | Id Specialty Dental Services, Pllc 1327 N Meridian Rd Ste 40 Kuna ID 83634-1761 Ph: (208) 898-0000 |
| NPI Number | 1457944167 |
|---|---|
| Provider Enumeration Date | 02/12/2021 |
| Last Update Date | 02/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457944167 | NPI | - | NPPES |
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Idaho Dental Professionals, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1097 N Jacksonmill Ave, Kuna, ID 83634 Phone: 208-519-7171 Fax: 208-519-7136 | |
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