Scott Featherstone Dds Pllc | |
333 Main Street South Suite 110 Ketchum ID 83340 | |
(208) 726-8272 | |
Not Available |
Full Name | Scott Featherstone Dds Pllc |
---|---|
Speciality | Dentist |
Location | 333 Main Street South, Ketchum, Idaho |
Authorized Official Name and Position | Scott L Featherstone (MANAGER/MEMBER) |
Authorized Official Contact | 2087268272 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Scott Featherstone Dds Pllc Po Box 1328 Ketchum ID 83340 Ph: (208) 721-8272 | Scott Featherstone Dds Pllc 333 Main Street South Suite 110 Ketchum ID 83340 Ph: (208) 726-8272 |
NPI Number | 1689833543 |
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Provider Enumeration Date | 06/05/2008 |
Last Update Date | 02/24/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689833543 | NPI | - | NPPES |
1851496137 | Other | NPI | |
D3802 | Other | ID | IDAHO LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | D3802 (Idaho) | Primary |
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