| Mrs Andrea L Wallace, DMD | |
|
2003 S Plaza Rd, Emmett, ID 83617-9180 | |
| (208) 365-3534 | |
| (208) 365-6231 |
| Full Name | Mrs Andrea L Wallace |
|---|---|
| Gender | Female |
| Speciality | Dentist - General Practice |
| Location | 2003 S Plaza Rd, Emmett, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871608604 | NPI | - | NPPES |
| 8071026 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D-3656 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Andrea L Wallace, DMD 2003 S Plaza Rd, Emmett, ID 83617-9180 Ph: (208) 365-3534 | Mrs Andrea L Wallace, DMD 2003 S Plaza Rd, Emmett, ID 83617-9180 Ph: (208) 365-3534 |
Dr. Jimmy Joe Zarybnisky, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2003 S Plaza Rd, Emmett, ID 83617 Phone: 208-365-3534 | |
Dr. Shon Dewane Rooks, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1110 S Washington Ave, Emmett, ID 83617 Phone: 208-365-3860 | |
Dr. Clark Richard Elkins, DMD Dentist Medicare: Medicare Enrolled Practice Location: 1110 S Washington Ave, Emmett, ID 83617 Phone: 208-963-0055 | |
Kelsey Peterson, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1312 South Washington Street, Emmett, ID 83617 Phone: 208-941-6640 | |
Dr. Warren Richard Willis, D.M.D Dentist Medicare: Not Enrolled in Medicare Practice Location: 119 N Wardwell Ave, Emmett, ID 83617 Phone: 208-365-6313 Fax: 208-365-1303 | |
Jeffrey L Henken, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1020 E Locust, Emmett, ID 83617 Phone: 208-365-5064 Fax: 208-365-4235 | |
Darren K Wallace, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2003 E Quail Run Rd, Emmett, ID 83617 Phone: 208-365-3534 Fax: 208-365-6231 |