| Scott Freeman, D.m.d., P.a. | |
|
6363 W Emerald St #101 Boise ID 83704-8783 | |
| (208) 377-2150 | |
| (208) 377-3930 |
| Full Name | Scott Freeman, D.m.d., P.a. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6363 W Emerald St, Boise, Idaho |
| Authorized Official Name and Position | Scott Douglas Freeman (PEDIATRIC DENTIST) |
| Authorized Official Contact | 2083772150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Scott Freeman, D.m.d., P.a. 6363 W Emerald St #101 Boise ID 83704-8783 Ph: (208) 377-2150 | Scott Freeman, D.m.d., P.a. 6363 W Emerald St #101 Boise ID 83704-8783 Ph: (208) 377-2150 |
| NPI Number | 1619133923 |
|---|---|
| Provider Enumeration Date | 08/06/2008 |
| Last Update Date | 08/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619133923 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 1479 PD (Idaho) | Primary |
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