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1570 E Heritage Park St Ste 100 Meridian ID 83646-5886 | |
| (208) 884-8066 | |
| (208) 884-4809 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1570 E Heritage Park St Ste 100, Meridian, Idaho |
| Authorized Official Name and Position | Rhett Matthew Yeakley (DENTIST) |
| Authorized Official Contact | 5305103884 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1570 E Heritage Park St Ste 100 Meridian ID 83646-5886 Ph: (208) 884-8066 | 1570 E Heritage Park St Ste 100 Meridian ID 83646-5886 Ph: (208) 884-8066 |
| NPI Number | 1083975304 |
|---|---|
| Provider Enumeration Date | 06/04/2012 |
| Last Update Date | 06/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083975304 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D4338 (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 |