| Idaho Prosthodontics | |
|
1323 Michigan St Sandpoint ID 83864-1747 | |
| (208) 263-6393 | |
| Not Available |
| Full Name | Idaho Prosthodontics |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 1323 Michigan St, Sandpoint, Idaho |
| Authorized Official Name and Position | Darrel Laverne Mooney (OWNWE) |
| Authorized Official Contact | 2088415038 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Idaho Prosthodontics 347 Crooked Ear Ct Sandpoint ID 83864-9477 Ph: (208) 841-5038 | Idaho Prosthodontics 1323 Michigan St Sandpoint ID 83864-1747 Ph: (208) 263-6393 |
| NPI Number | 1710147087 |
|---|---|
| Provider Enumeration Date | 06/11/2008 |
| Last Update Date | 06/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710147087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | D1650PR (Idaho) | Primary |
Jamie White Orthodontics, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1202 N Division Ave, Sandpoint, ID 83864 Phone: 208-265-8018 | |
Dr Gliddens Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 Superior St, Sandpoint, ID 83864 Phone: 208-263-8514 | |
John Wilson Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2005 Pine St, Sandpoint, ID 83864 Phone: 509-949-8147 | |
Tom Davies, D.d.s., Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 Superior St, Sandpoint, ID 83864 Phone: 760-519-5712 Fax: 888-222-6516 | |
Idaho Prosthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 347 Crooked Ear Ct, Sandpoint, ID 83864 Phone: 208-336-9333 Fax: 208-387-1951 | |
Ivory Edge, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1323 Highway 2, Suite 301, Sandpoint, ID 83864 Phone: 208-263-1412 | |
Loftus Family Dental - Sandpoint Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1310 Ponderosa Drive, Suite A, Sandpoint, ID 83864 Phone: 208-263-7641 Fax: 208-265-4333 |