| Meridian Pediatric Dentistry, Pllc | |
|
1550 E Heritage Park St Ste 150 Meridian ID 83646-5886 | |
| (208) 288-2719 | |
| (208) 288-2579 |
| Full Name | Meridian Pediatric Dentistry, Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1550 E Heritage Park St Ste 150, Meridian, Idaho |
| Authorized Official Name and Position | Toby Merriman (OWNER) |
| Authorized Official Contact | 2082882719 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Meridian Pediatric Dentistry, Pllc 1550 E Heritage Park St Ste 150 Meridian ID 83646-5886 Ph: (208) 288-2719 | Meridian Pediatric Dentistry, Pllc 1550 E Heritage Park St Ste 150 Meridian ID 83646-5886 Ph: (208) 288-2719 |
| NPI Number | 1811156722 |
|---|---|
| Provider Enumeration Date | 06/05/2008 |
| Last Update Date | 06/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811156722 | NPI | - | NPPES |
| 806274800 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | D-3592-PD (Idaho) | Primary |
The Center For Sleep Apnea And Tmj Pa Dental Clinic Medicare: Medicare Enrolled Practice Location: 1718 S. Millennium Way, Meridian, ID 83642 Phone: 208-376-3600 Fax: 208-376-3616 | |
Willow Tree Dental Group Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 317 W Cherry Ln, Meridian, ID 83642 Phone: 208-472-7817 Fax: 208-345-2601 |