| Rigby Pediatric Dental Pllc | |
|
688 Rigby Lake Circle, Suite 4 Rigby ID 83442 | |
| (208) 600-0330 | |
| Not Available |
| Full Name | Rigby Pediatric Dental Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 688 Rigby Lake Circle, Suite 4, Rigby, Idaho |
| Authorized Official Name and Position | Kory Bingham (MANAGING MEMBER) |
| Authorized Official Contact | 2087169724 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rigby Pediatric Dental Pllc Po Box 191 Iona ID 83427-0191 Ph: (208) 716-9724 | Rigby Pediatric Dental Pllc 688 Rigby Lake Circle, Suite 4 Rigby ID 83442 Ph: (208) 600-0330 |
| NPI Number | 1124657010 |
|---|---|
| Provider Enumeration Date | 04/03/2020 |
| Last Update Date | 04/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124657010 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
Rigby Dental, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 127 1/2 E Short St, Rigby, ID 83442 Phone: 208-745-6536 Fax: 208-745-0006 | |
Brightside Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 302 N 3823 E, Rigby, ID 83442 Phone: 208-745-1911 Fax: 208-745-8566 | |
Peterson Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 127 1/2 E Short St, Rigby, ID 83442 Phone: 208-745-6536 Fax: 208-745-0006 | |
Aspen Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 197 Stockham Blvd, Suite A, Rigby, ID 83442 Phone: 208-745-7407 Fax: 208-745-7365 | |
Towne Suare Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 527 Rigby Lake Dr, Suite B, Rigby, ID 83442 Phone: 208-745-8704 Fax: 208-745-7052 | |
Dansie Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 302 N 3823 E, Rigby, ID 83442 Phone: 208-745-1911 Fax: 208-745-8566 |