| Tom Davies, D.d.s., Llc | |
|
103 Superior St Sandpoint ID 83864-1394 | |
| (760) 519-5712 | |
| (888) 222-6516 |
| Full Name | Tom Davies, D.d.s., Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 103 Superior St, Sandpoint, Idaho |
| Authorized Official Name and Position | Thomas Davies (MANAGER) |
| Authorized Official Contact | 7605195712 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tom Davies, D.d.s., Llc 3688 Wrencoe Loop Rd Sandpoint ID 83864-6383 Ph: (760) 519-5712 | Tom Davies, D.d.s., Llc 103 Superior St Sandpoint ID 83864-1394 Ph: (760) 519-5712 |
| NPI Number | 1205106945 |
|---|---|
| Provider Enumeration Date | 01/11/2012 |
| Last Update Date | 01/11/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205106945 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D-4403 (Idaho) | Primary |
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