| Idaho Dental Professionals, P.c. | |
|
140 N Highbrook Way Ste 102 Star ID 83669-1029 | |
| (208) 600-0522 | |
| (208) 600-0496 |
| Full Name | Idaho Dental Professionals, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 140 N Highbrook Way Ste 102, Star, Idaho |
| Authorized Official Name and Position | Belinda Huerta (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175402100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Idaho Dental Professionals, P.c. 140 N Highbrook Way Ste 102 Star ID 83669-1029 Ph: (208) 600-0522 | Idaho Dental Professionals, P.c. 140 N Highbrook Way Ste 102 Star ID 83669-1029 Ph: (208) 600-0522 |
| NPI Number | 1427833409 |
|---|---|
| Provider Enumeration Date | 08/29/2023 |
| Last Update Date | 08/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427833409 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Star Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10706 W State St, Suite 105, Star, ID 83669 Phone: 208-286-9890 Fax: 208-286-9924 | |
Ikdo Star Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12190 W Evely Pines Ln, Star, ID 83669 Phone: 208-884-4466 |