| Mccord Orthodontics | |
|
3411 Merlin Dr Idaho Falls ID 83404-7430 | |
| (208) 529-8333 | |
| Not Available |
| Full Name | Mccord Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 3411 Merlin Dr, Idaho Falls, Idaho |
| Authorized Official Name and Position | Layne Mccord (OWNER) |
| Authorized Official Contact | 2085298333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mccord Orthodontics 3411 Merlin Dr Idaho Falls ID 83404-7430 Ph: (208) 529-8333 | Mccord Orthodontics 3411 Merlin Dr Idaho Falls ID 83404-7430 Ph: (208) 529-8333 |
| NPI Number | 1043644388 |
|---|---|
| Provider Enumeration Date | 08/22/2013 |
| Last Update Date | 08/22/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043644388 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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