| Pediatric Dental Center Of North Idaho | |
|
1310 Ponderosa Dr Suite B Sandpoint ID 83864-5073 | |
| (208) 255-5410 | |
| (208) 255-5420 |
| Full Name | Pediatric Dental Center Of North Idaho |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1310 Ponderosa Dr, Sandpoint, Idaho |
| Authorized Official Name and Position | John M Ukich (PRESIDENT) |
| Authorized Official Contact | 2086673556 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dental Center Of North Idaho 1310 Ponderosa Dr Suite B Sandpoint ID 83864-5073 Ph: (208) 255-5410 | Pediatric Dental Center Of North Idaho 1310 Ponderosa Dr Suite B Sandpoint ID 83864-5073 Ph: (208) 255-5410 |
| NPI Number | 1720259484 |
|---|---|
| Provider Enumeration Date | 03/20/2008 |
| Last Update Date | 03/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720259484 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | D1656 (Idaho) | Primary |
Jamie White Orthodontics, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1202 N Division Ave, Sandpoint, ID 83864 Phone: 208-265-8018 | |
Dr Gliddens Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 Superior St, Sandpoint, ID 83864 Phone: 208-263-8514 | |
John Wilson Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2005 Pine St, Sandpoint, ID 83864 Phone: 509-949-8147 | |
Tom Davies, D.d.s., Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 Superior St, Sandpoint, ID 83864 Phone: 760-519-5712 Fax: 888-222-6516 | |
Idaho Prosthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 347 Crooked Ear Ct, Sandpoint, ID 83864 Phone: 208-336-9333 Fax: 208-387-1951 | |
Ivory Edge, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1323 Highway 2, Suite 301, Sandpoint, ID 83864 Phone: 208-263-1412 | |
Loftus Family Dental - Sandpoint Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1310 Ponderosa Drive, Suite A, Sandpoint, ID 83864 Phone: 208-263-7641 Fax: 208-265-4333 |