| Mckee Idaho Dental | |
|
1541 E Clark St Pocatello ID 83201-4100 | |
| (208) 232-6400 | |
| (208) 232-6050 |
| Full Name | Mckee Idaho Dental |
|---|---|
| Speciality | Dentist |
| Location | 1541 E Clark St, Pocatello, Idaho |
| Authorized Official Name and Position | Paul Clark (OWNER) |
| Authorized Official Contact | 2082326400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mckee Idaho Dental 1541 E Clark Street Pocatello ID 83201-4100 Ph: (208) 232-6400 | Mckee Idaho Dental 1541 E Clark St Pocatello ID 83201-4100 Ph: (208) 232-6400 |
| NPI Number | 1972319085 |
|---|---|
| Provider Enumeration Date | 12/04/2024 |
| Last Update Date | 12/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972319085 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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