| Just 4 Kidds Dentistry For Children | |
|
929 S Utah Ave Idaho Falls ID 83402-3322 | |
| (208) 529-2199 | |
| Not Available |
| Full Name | Just 4 Kidds Dentistry For Children |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 929 S Utah Ave, Idaho Falls, Idaho |
| Authorized Official Name and Position | Jordan Ellison Higham (OWNER/DENTIST) |
| Authorized Official Contact | 2085292199 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Just 4 Kidds Dentistry For Children 929 S Utah Ave Idaho Falls ID 83402-3322 Ph: (208) 529-2199 | Just 4 Kidds Dentistry For Children 929 S Utah Ave Idaho Falls ID 83402-3322 Ph: (208) 529-2199 |
| NPI Number | 1437595881 |
|---|---|
| Provider Enumeration Date | 05/13/2013 |
| Last Update Date | 05/13/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437595881 | NPI | - | NPPES |
| 1710186432 | Other | ID | SOLO PRACTICE NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | D-4205-PD (Idaho) | Primary |
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