| Infinity Dental Pllc | |
|
622 Center St W Kimberly ID 83341-1720 | |
| (208) 423-5001 | |
| (208) 423-4867 |
| Full Name | Infinity Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 622 Center St W, Kimberly, Idaho |
| Authorized Official Name and Position | Travis Trent Shepherd (PRESIDENT) |
| Authorized Official Contact | 5057870072 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Infinity Dental Pllc 610 Garnet Dr Kimberly ID 83341-1942 Ph: (605) 797-0082 | Infinity Dental Pllc 622 Center St W Kimberly ID 83341-1720 Ph: (208) 423-5001 |
| NPI Number | 1700241890 |
|---|---|
| Provider Enumeration Date | 12/16/2015 |
| Last Update Date | 12/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700241890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D-4720 (Idaho) | Primary |
Pheasant Cove Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 702 Center St W, Kimberly, ID 83341 Phone: 208-423-6444 Fax: 208-423-6903 |