Idaho Kids Dentistry & Orthodontics Fruitland | |
1619 N Whitley Dr Fruitland ID 83619-2162 | |
(208) 452-4444 | |
(208) 452-3322 |
Full Name | Idaho Kids Dentistry & Orthodontics Fruitland |
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Speciality | Dentist - Pediatric Dentistry |
Location | 1619 N Whitley Dr, Fruitland, Idaho |
Authorized Official Name and Position | Michael D Payne (PRESIDENT) |
Authorized Official Contact | 2083714445 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Idaho Kids Dentistry & Orthodontics Fruitland 3289 N Towerbridge Way Meridian ID 83646-8347 Ph: (208) 884-4466 | Idaho Kids Dentistry & Orthodontics Fruitland 1619 N Whitley Dr Fruitland ID 83619-2162 Ph: (208) 452-4444 |
NPI Number | 1184108706 |
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Provider Enumeration Date | 09/19/2018 |
Last Update Date | 04/16/2019 |
Identifier | Type | State | Issuer |
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1184108706 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Secondary |
Alan R. Pearce Dds, Md, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 N Whitley Dr, Suite 3, Fruitland, ID 83619 Phone: 208-452-4808 Fax: 208-452-4816 | |
Joseph D Ballenger Jr, Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 N Whitley Dr, Suite 3, Fruitland, ID 83619 Phone: 208-452-4808 Fax: 208-452-4816 | |
Childrens Dentistry Of Fruitland Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1950 N Whitley Dr, Fruitland, ID 83619 Phone: 541-709-5500 Fax: 208-467-5199 |