| Dr Brett Eddis Mooso, DDS,MS,PA | |
|
1410 E 17th St, Idaho Falls, ID 83404-6269 | |
| (208) 522-4552 | |
| (208) 522-4555 |
| Full Name | Dr Brett Eddis Mooso |
|---|---|
| Gender | Male |
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1410 E 17th St, Idaho Falls, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902902208 | NPI | - | NPPES |
| 6083 | Other | ID | BLUE CROSS PROVIDER NUMBE |
| 000010012359 | Other | ID | BLUE SHIELD PROVIDE NUMBE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | D-3029-OR (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brett Eddis Mooso, DDS,MS,PA 1410 E 17th St, Idaho Falls, ID 83404-6269 Ph: (208) 522-4552 | Dr Brett Eddis Mooso, DDS,MS,PA 1410 E 17th St, Idaho Falls, ID 83404-6269 Ph: (208) 522-4552 |
Dr. Christopher M Cannon, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 3550 Washington Pkwy, Idaho Falls, ID 83404 Phone: 208-524-2300 Fax: 208-545-8447 | |
Dr. Ryan T Kidman, DDS Dentist Medicare: Medicare Enrolled Practice Location: 139 Alturas St, Idaho Falls, ID 83401 Phone: 208-523-5090 Fax: 208-895-0583 | |
Dr. Dwight Douglas Baker, D.D.S., M.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1900 John Adams Pkwy, Idaho Falls, ID 83401 Phone: 208-524-0644 Fax: 208-524-6100 | |
Mark Asael Tall, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2460 E 25th St, Idaho Falls, ID 83404 Phone: 208-525-4780 Fax: 508-525-4785 | |
Dr. Ron D Sheppard, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2300 E 17th St, Idaho Falls, ID 83404 Phone: 208-525-8383 Fax: 208-523-6419 | |
Dr. Trent Charles Buehler, DMD Dentist Medicare: Medicare Enrolled Practice Location: 2860 Valencia Dr Ste 100, Idaho Falls, ID 83404 Phone: 855-433-6825 | |
Dr. Philip R Harper, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 3550 Washington Pkwy, Idaho Falls, ID 83404 Phone: 208-524-2300 Fax: 208-545-8447 |