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1500 W Cayuse Creek Dr Ste 100 Meridian ID 83646-4757 | |
| (208) 893-5435 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1500 W Cayuse Creek Dr Ste 100, Meridian, Idaho |
| Authorized Official Name and Position | Melody Bennion (DIRECTOR OF INTEGRATIONS) |
| Authorized Official Contact | 4802348490 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1500 W Cayuse Creek Dr Ste 100 Meridian ID 83646-4757 Ph: (208) 893-5435 | 1500 W Cayuse Creek Dr Ste 100 Meridian ID 83646-4757 Ph: (208) 893-5435 |
| NPI Number | 1124755566 |
|---|---|
| Provider Enumeration Date | 08/05/2022 |
| Last Update Date | 12/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124755566 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
The Center For Sleep Apnea And Tmj Pa Dental Clinic Medicare: Medicare Enrolled Practice Location: 1718 S. Millennium Way, Meridian, ID 83642 Phone: 208-376-3600 Fax: 208-376-3616 | |
Willow Tree Dental Group Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 317 W Cherry Ln, Meridian, ID 83642 Phone: 208-472-7817 Fax: 208-345-2601 |