| Mt Baldy Dental Center | |
|
1305 Hwy 2 West Bluiding A Suite A Sandpoint ID 83864 | |
| (208) 263-6806 | |
| (208) 265-2231 |
| Full Name | Mt Baldy Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1305 Hwy 2 West, Sandpoint, Idaho |
| Authorized Official Name and Position | Lynn Jensen (FINACIAL OFFICER) |
| Authorized Official Contact | 2082636806 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mt Baldy Dental Center 1305 Hwy 2 West Bluiding A Suite A Sandpoint ID 83864 Ph: (208) 263-6806 | Mt Baldy Dental Center 1305 Hwy 2 West Bluiding A Suite A Sandpoint ID 83864 Ph: (208) 263-6806 |
| NPI Number | 1720419369 |
|---|---|
| Provider Enumeration Date | 12/09/2013 |
| Last Update Date | 12/09/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720419369 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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Dr Gliddens Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 Superior St, Sandpoint, ID 83864 Phone: 208-263-8514 | |
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