| Sw Grant Pc | |
|
2275 S Eagle Rd Ste 140 Meridian ID 83642-5079 | |
| (208) 938-3190 | |
| (208) 888-1571 |
| Full Name | Sw Grant Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2275 S Eagle Rd, Meridian, Idaho |
| Authorized Official Name and Position | Scott William Grant (DENTIST) |
| Authorized Official Contact | 2089383190 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sw Grant Pc 2275 S Eagle Rd Ste 140 Meridian ID 83642-5079 Ph: (208) 938-3190 | Sw Grant Pc 2275 S Eagle Rd Ste 140 Meridian ID 83642-5079 Ph: (208) 938-3190 |
| NPI Number | 1881869055 |
|---|---|
| Provider Enumeration Date | 04/28/2008 |
| Last Update Date | 09/16/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881869055 | NPI | - | NPPES |
| 807480600 | Medicaid | ID | |
| 6P052 | Other | ID | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D-3981 (Idaho) | 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 |