Sleep Better Idaho Llc | |
1246 Yellowstone Ave Ste B3 Pocatello ID 83201-4372 | |
(208) 648-4908 | |
Not Available |
Full Name | Sleep Better Idaho Llc |
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Speciality | Dentist |
Location | 1246 Yellowstone Ave Ste B3, Pocatello, Idaho |
Authorized Official Name and Position | Kenyon L Oyler (OWNER/PROVIDER) |
Authorized Official Contact | 2084121773 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sleep Better Idaho Llc 3200 N Leslie Way Meridian ID 83646-5362 Ph: (208) 412-1773 | Sleep Better Idaho Llc 1246 Yellowstone Ave Ste B3 Pocatello ID 83201-4372 Ph: (208) 648-4908 |
NPI Number | 1992316251 |
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Provider Enumeration Date | 08/11/2020 |
Last Update Date | 08/11/2020 |
Medicare PECOS PAC ID | 7719316256 |
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Medicare Enrollment ID | O20200923002962 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992316251 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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