Dr Blaine Dee Symons, DDS is a
Dentist - General Practice based in White Bird, Idaho. Dr Blaine Dee Symons is licensed to practice in Idaho (license number 3683) and his current practice location is
1224 Harmony Ln, White Bird, Idaho. He can be reached at his office (for appointments etc.) via phone at
(208) 839-2640.
NPI number for Dr Blaine Dee Symons is 1104968031 and his current mailing address is 1224 Harmony Ln, White Bird, Idaho. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104968031.
Healthcare Provider's Profile
| Full Name | Dr Blaine Dee Symons |
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| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 1224 Harmony Ln, White Bird, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1104968031
- Provider Enumeration Date: 02/14/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Blaine Dee Symons such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104968031 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 3683 (Idaho) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Blaine Dee Symons is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Blaine Dee Symons, DDS
1224 Harmony Ln,
White Bird, ID 83554-0079
Ph: (208) 839-2640 | Dr Blaine Dee Symons, DDS
1224 Harmony Ln,
White Bird, ID 83554-0079
Ph: (208) 839-2640 |
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