| Dr Emerson G Godbolt, DMD | |
|
1310 Ponderosa Dr Ste A, Sandpoint, ID 83864-5073 | |
| (208) 263-7641 | |
| (208) 265-4333 |
| Full Name | Dr Emerson G Godbolt |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 1310 Ponderosa Dr Ste A, Sandpoint, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902211725 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5219 (Idaho) | Primary |
| 122300000X | Dentist | 7811 (Montana) | Secondary |
| 122300000X | Dentist | DEN-DEN-LIC-7811 (Montana) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Emerson G Godbolt, DMD 1310 Ponderosa Dr Ste A, Sandpoint, ID 83864-5073 Ph: (208) 263-7641 | Dr Emerson G Godbolt, DMD 1310 Ponderosa Dr Ste A, Sandpoint, ID 83864-5073 Ph: (208) 263-7641 |
Robert H Harrison, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1575 Ontario St, Sandpoint, ID 83864 Phone: 208-263-4353 Fax: 208-265-7223 | |
Ronald W Forsberg, DDS PA Dentist Medicare: Not Enrolled in Medicare Practice Location: 2005 Pine St, Sandpoint, ID 83864 Phone: 208-265-4115 Fax: 208-265-2365 | |
Dr. Phillip Arnold Glidden, DDS Dentist Medicare: Medicare Enrolled Practice Location: 103 W. Superior St, Sandpoint, ID 83864 Phone: 208-263-8514 | |
Todd Michael House, DMD Dentist Medicare: Medicare Enrolled Practice Location: 1305 Hwy 2 West, Sandpoint, ID 83864 Phone: 208-263-6806 Fax: 208-265-2231 | |
Dr. John Joseph Wilson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2005 Pine St, Sandpoint, ID 83864 Phone: 208-263-8535 | |
Marc L Natoni, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2025 Pine St, Sandpoint, ID 83864 Phone: 208-265-4558 Fax: 208-263-5721 | |
Dr. Mark William Hawn, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2025 Pine St, Sandpoint, ID 83864 Phone: 208-265-4558 Fax: 208-263-5721 |