| Michael R Bailey Md Dds Pa | |
|
403 S 11th St Suite 300 Boise ID 83702-6968 | |
| (208) 344-9115 | |
| (208) 344-9113 |
| Full Name | Michael R Bailey Md Dds Pa |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 403 S 11th St, Boise, Idaho |
| Authorized Official Name and Position | Michael R Bailey (OWNER) |
| Authorized Official Contact | 2083449115 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael R Bailey Md Dds Pa 403 S 11th St Suite 300 Boise ID 83702-6968 Ph: (208) 344-9115 | Michael R Bailey Md Dds Pa 403 S 11th St Suite 300 Boise ID 83702-6968 Ph: (208) 344-9115 |
| NPI Number | 1053584284 |
|---|---|
| Provider Enumeration Date | 04/09/2008 |
| Last Update Date | 01/23/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053584284 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | D3165/M6325 (Idaho) | Primary |
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