| Todays Dental Care Wendell Llc | |
|
410 N Idaho St Wendell ID 83355-5038 | |
| (208) 536-5441 | |
| (208) 536-5873 |
| Full Name | Todays Dental Care Wendell Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 410 N Idaho St, Wendell, Idaho |
| Authorized Official Name and Position | Jeremiah Funk (DENTIST) |
| Authorized Official Contact | 2085365441 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Todays Dental Care Wendell Llc 119 Country Ln Jerome ID 83338-6147 Ph: (208) 324-8861 | Todays Dental Care Wendell Llc 410 N Idaho St Wendell ID 83355-5038 Ph: (208) 536-5441 |
| NPI Number | 1639572456 |
|---|---|
| Provider Enumeration Date | 10/07/2014 |
| Last Update Date | 02/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639572456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Jack C. Kulm Dmd Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 N Idaho St, Wendell, ID 83355 Phone: 208-536-5441 Fax: 208-536-5873 |