| Mountain River Dental | |
|
404 Lupine Dr. Victor ID 83455 | |
| (208) 787-8100 | |
| (208) 787-8101 |
| Full Name | Mountain River Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 404 Lupine Dr., Victor, Idaho |
| Authorized Official Name and Position | Justin D Bell (CO-OWNER) |
| Authorized Official Contact | 2087878100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain River Dental Po Box 487 Victor ID 83455-0487 Ph: (208) 787-8100 | Mountain River Dental 404 Lupine Dr. Victor ID 83455 Ph: (208) 787-8100 |
| NPI Number | 1366543563 |
|---|---|
| Provider Enumeration Date | 09/26/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366543563 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Idaho) | Primary |
Mountain River Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7726 Lupine Ln, Victor, ID 83455 Phone: 208-787-8100 | |
Grand Teton Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 741 South 50 West, Suite A, Victor, ID 83455 Phone: 208-787-2323 Fax: 208-787-2464 | |
Mountain River Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 404 Lupine Drive, Victor, ID 83455 Phone: 208-787-8100 Fax: 208-787-8101 | |
Grand Teton Denteal Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 741 S 50 W, Suite A, Victor, ID 83455 Phone: 208-787-2323 |