| Sage Dental | |
|
333 W Cedar St Pocatello ID 83201-5045 | |
| (208) 233-6912 | |
| (208) 233-6921 |
| Full Name | Sage Dental |
|---|---|
| Speciality | Dentist |
| Location | 333 W Cedar St, Pocatello, Idaho |
| Authorized Official Name and Position | Kyle James Siemen (DENTIST/PRESIDENT) |
| Authorized Official Contact | 2082336912 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sage Dental 333 W Cedar St Pocatello ID 83201-5045 Ph: (208) 233-6912 | Sage Dental 333 W Cedar St Pocatello ID 83201-5045 Ph: (208) 233-6912 |
| NPI Number | 1285044529 |
|---|---|
| Provider Enumeration Date | 05/07/2014 |
| Last Update Date | 05/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285044529 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D3403 (Idaho) | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |
Id Specialty Dental Services, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 625 E Alameda Rd, Pocatello, ID 83201 Phone: 208-237-0005 | |
Smiles By Design Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 135 Warren Ave, Pocatello, ID 83201 Phone: 208-237-6453 Fax: 208-233-4227 | |
Comfort Care Dental Of Pocatello Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 W Cedar St, Pocatello, ID 83201 Phone: 208-233-5362 Fax: 208-234-8056 | |
Desert Valley Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 716 Yellowstone Ave, Pocatello, ID 83201 Phone: 208-478-1295 Fax: 208-232-5490 | |
Larsen Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 950 Hospital Way, Suite B, Pocatello, ID 83201 Phone: 208-233-7007 Fax: 208-233-2512 | |
Kidds Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 716 Yellowstone Ave, Pocatello, ID 83201 Phone: 208-478-5437 Fax: 208-232-5490 | |
Dr Darryl D Bybee Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1169 Call Creek Pl, Suite A, Pocatello, ID 83201 Phone: 208-233-8620 |