Spring Creek Dentistry, Llc | |
1706 Overland Ave Burley ID 83318-2436 | |
(208) 678-2332 | |
Not Available |
Full Name | Spring Creek Dentistry, Llc |
---|---|
Speciality | Clinic/center - Dental |
Location | 1706 Overland Ave, Burley, Idaho |
Authorized Official Name and Position | Michael Bryson Stucki (OWNER/DENTIST) |
Authorized Official Contact | 2086782332 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Spring Creek Dentistry, Llc 1706 Overland Ave Burley ID 83318-2436 Ph: (208) 678-2332 | Spring Creek Dentistry, Llc 1706 Overland Ave Burley ID 83318-2436 Ph: (208) 678-2332 |
NPI Number | 1518645365 |
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Provider Enumeration Date | 07/10/2023 |
Last Update Date | 07/10/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518645365 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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Idaho Orthodontic-burley Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1408 Pomerelle Ave, Suite E, Burley, ID 83318 Phone: 208-678-2738 Fax: 208-378-2731 | |
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Dennis Michaelson D.m.d., Ms Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2271 Overland Ave Ste 4, Burley, ID 83318 Phone: 208-678-3265 Fax: 208-678-5206 | |
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