Kevin D. Banner | |
1010 E Main St Burley ID 83318-2045 | |
(208) 678-5597 | |
(208) 678-5663 |
Full Name | Kevin D. Banner |
---|---|
Speciality | Dentist |
Location | 1010 E Main St, Burley, Idaho |
Authorized Official Name and Position | Echo S Roberts (OFFICE MANAGER) |
Authorized Official Contact | 2086785597 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Kevin D. Banner 1010 E Main St Burley ID 83318-2045 Ph: (208) 678-5597 | Kevin D. Banner 1010 E Main St Burley ID 83318-2045 Ph: (208) 678-5597 |
NPI Number | 1871763649 |
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Provider Enumeration Date | 03/07/2008 |
Last Update Date | 03/07/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871763649 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | D1892 (Idaho) | Primary |
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Idaho Orthodontic-burley Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1408 Pomerelle Ave, Suite E, Burley, ID 83318 Phone: 208-678-2738 Fax: 208-378-2731 | |
Burley Kids Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 859 Oakley Ave, Burley, ID 83318 Phone: 208-677-4531 | |
Dennis Michaelson D.m.d., Ms Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2271 Overland Ave Ste 4, Burley, ID 83318 Phone: 208-678-3265 Fax: 208-678-5206 | |
Stock & Garn Llp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2200 Park Ave, Suite 2, Burley, ID 83318 Phone: 208-678-8188 Fax: 208-678-3170 | |
River Valley Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2271 Overland Ave Ste 4, Burley, ID 83318 Phone: 208-678-3265 | |
Smiles 4 Kids Burley Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1408 Pomerelle Ave, Suite D, Burley, ID 83318 Phone: 208-734-7415 Fax: 208-733-1922 |