| Ideal Image Dentistry & Spa | |
|
1008 E Main St Mandan ND 58554-3762 | |
| (701) 667-1933 | |
| (701) 667-2115 |
| Full Name | Ideal Image Dentistry & Spa |
|---|---|
| Speciality | Dentist |
| Location | 1008 E Main St, Mandan, North Dakota |
| Authorized Official Name and Position | Leah N Brady (DENTIST) |
| Authorized Official Contact | 7016671933 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ideal Image Dentistry & Spa 1008 E Main St Mandan ND 58554-3762 Ph: () - | Ideal Image Dentistry & Spa 1008 E Main St Mandan ND 58554-3762 Ph: (701) 667-1933 |
| NPI Number | 1295010742 |
|---|---|
| Provider Enumeration Date | 10/17/2011 |
| Last Update Date | 10/20/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295010742 | NPI | - | NPPES |
| 40018 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2070 (North Dakota) | Primary |
Prairie Rose Family Dentists Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2500 Overlook Ln Nw, Mandan, ND 58554 Phone: 701-751-3237 | |
Dr Michael Maier Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 204 3rd Ave Nw, Mandan, ND 58554 Phone: 701-663-7545 Fax: 701-663-6174 | |
Ideal Image Dentistry & Spa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1008 E Main St, Mandan, ND 58554 Phone: 701-667-1933 |