| Ikdo South Meridian Llc | |
|
3839 E Amity Rd Meridian ID 83642 | |
| (208) 999-4999 | |
| Not Available |
| Full Name | Ikdo South Meridian Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3839 E Amity Rd, Meridian, Idaho |
| Authorized Official Name and Position | Michael D Payne (OWNER) |
| Authorized Official Contact | 2088844466 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ikdo South Meridian Llc 3289 N Towerbridge Way Meridian ID 83646-8347 Ph: (208) 884-4466 | Ikdo South Meridian Llc 3839 E Amity Rd Meridian ID 83642 Ph: (208) 999-4999 |
| NPI Number | 1174145684 |
|---|---|
| Provider Enumeration Date | 05/07/2020 |
| Last Update Date | 05/07/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174145684 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Secondary |
The Center For Sleep Apnea And Tmj Pa Dental Clinic Medicare: Medicare Enrolled Practice Location: 1718 S. Millennium Way, Meridian, ID 83642 Phone: 208-376-3600 Fax: 208-376-3616 | |
Thomas U Cox Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3250 N Towerbridge Way, Meridian, ID 83646 Phone: 208-898-9355 Fax: 208-898-9363 | |
Meridian Smiles Dentistry And Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2274 N Eagle Rd Ste 130, Meridian, ID 83646 Phone: 208-898-5440 Fax: 208-893-5441 | |
Terry Reilly Health Services Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3115 E Florence Dr, Meridian, ID 83642 Phone: 208-991-2963 Fax: 208-466-5359 | |
Treasure Valley Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1570 E Heritage Park St Ste 100, Meridian, ID 83646 Phone: 208-884-8066 Fax: 208-884-4809 | |
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