| Jack Alan Fullwiler, DDS | |
|
1223 N Government Way, Coeur D Alene, ID 83814 | |
| (208) 664-9225 | |
| (208) 667-3699 |
| Full Name | Jack Alan Fullwiler |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 1223 N Government Way, Coeur D Alene, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518095678 | NPI | - | NPPES |
| 000010009552 | Other | REGENCE BLUE SHIELD | |
| 07068 | Other | WASHINGTON DENT SERV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D1747 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jack Alan Fullwiler, DDS 1223 N Government Way, Coeur D Alene, ID 83814 Ph: (208) 664-9225 | Jack Alan Fullwiler, DDS 1223 N Government Way, Coeur D Alene, ID 83814 Ph: (208) 664-9225 |
Logan Ditto, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2344 N Merritt Creek Loop, Coeur D Alene, ID 83814 Phone: 208-676-8500 | |
Wesley B Brimhall, DMD Dentist Medicare: Medicare Enrolled Practice Location: 943 W Ironwood Dr Ste 200, Coeur D Alene, ID 83814 Phone: 855-433-6825 | |
Dr. Tais Trevelin Lowry, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1800 Lincoln Way, Coeur D Alene, ID 83814 Phone: 208-874-7302 | |
Dr. Rachel B Fehling, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 943 W Ironwood Dr, #200, Coeur D Alene, ID 83814 Phone: 208-666-1793 | |
Zachary Miller, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 700 W Ironwood Dr Ste 241, Coeur D Alene, ID 83814 Phone: 208-449-0414 | |
Jeffrey Patten, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2615 N Fruitland Ln, Coeur D Alene, ID 83815 Phone: 208-765-3301 | |
Dr. Daniel J Shaw, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 943 W Ironwood Dr Ste 200, Coeur D Alene, ID 83814 Phone: 855-433-6825 |