Idaho State University | |
2033 E Summersweet Dr Boise ID 83716-6695 | |
(208) 331-0182 | |
(208) 331-0184 |
Full Name | Idaho State University |
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Speciality | Dentist |
Location | 2033 E Summersweet Dr, Boise, Idaho |
Authorized Official Name and Position | Tina M Freeman (OFFICE MANAGER) |
Authorized Official Contact | 2083310182 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Idaho State University 2033 E Summersweet Dr Boise ID 83716-6695 Ph: (208) 331-0182 | Idaho State University 2033 E Summersweet Dr Boise ID 83716-6695 Ph: (208) 331-0182 |
NPI Number | 1912110164 |
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Provider Enumeration Date | 05/07/2007 |
Last Update Date | 06/24/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912110164 | NPI | - | NPPES |
807200600 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | D-1819 (Idaho) | Primary |
Idaho Smiles Assoc. Plls Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 W Idaho St, Boise, ID 83702 Phone: 208-343-7271 | |
Treasure Valley Oral And Facial Surgery Pllc Dental Clinic Medicare: Medicare Enrolled Practice Location: 1000 N. Curtis Rd, Suite 103, Boise, ID 83706 Phone: 208-343-0909 Fax: 208-343-6282 | |
A Reason To Smile, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2803 N Bogus Basin Rd, Boise, ID 83702 Phone: 208-343-1393 Fax: 208-388-8462 | |
Emerald Smiles Dentistry, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 675 N Milwaukee St Ste 110, Boise, ID 83704 Phone: 208-593-3221 | |
Boise Smiles Youth Dentistry, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8744 Fairview Ave, Boise, ID 83704 Phone: 208-322-3010 Fax: 208-322-9273 | |
Quality Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10200 W Emerald, Suite 105, Boise, ID 83704 Phone: 208-376-7954 Fax: 208-323-4859 | |
Affordable Dentures & Implants - Boise Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1410 S Entertainment Ave, Boise, ID 83709 Phone: 208-321-4937 |