| Towne Suare Dental | |
|
527 Rigby Lake Dr Suite B Rigby ID 83442-1271 | |
| (208) 745-8704 | |
| (208) 745-7052 |
| Full Name | Towne Suare Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 527 Rigby Lake Dr, Rigby, Idaho |
| Authorized Official Name and Position | Richard H. George (OWNER) |
| Authorized Official Contact | 2087458704 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Towne Suare Dental 527 Rigby Lake Dr Ste B Rigby ID 83442-1271 Ph: (208) 745-8704 | Towne Suare Dental 527 Rigby Lake Dr Suite B Rigby ID 83442-1271 Ph: (208) 745-8704 |
| NPI Number | 1801098744 |
|---|---|
| Provider Enumeration Date | 06/04/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801098744 | NPI | - | NPPES |
| 69054 | Other | ID | BLUE CROSS OF IDAHO |
| 6K356 | Other | ID | BLUE CROSS OF IDAHO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D1828 (Idaho) | Primary |
| 1223G0001X | Dentist - General Practice | D3820 (Idaho) | Secondary |
Rigby Dental, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 127 1/2 E Short St, Rigby, ID 83442 Phone: 208-745-6536 Fax: 208-745-0006 | |
Rigby Pediatric Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 688 Rigby Lake Circle, Suite 4, Rigby, ID 83442 Phone: 208-600-0330 | |
Brightside Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 302 N 3823 E, Rigby, ID 83442 Phone: 208-745-1911 Fax: 208-745-8566 | |
Peterson Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 127 1/2 E Short St, Rigby, ID 83442 Phone: 208-745-6536 Fax: 208-745-0006 | |
Aspen Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 197 Stockham Blvd, Suite A, Rigby, ID 83442 Phone: 208-745-7407 Fax: 208-745-7365 | |
Dansie Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 302 N 3823 E, Rigby, ID 83442 Phone: 208-745-1911 Fax: 208-745-8566 |