| Advanced Dental Center | |
|
25 N 1st E Preston ID 83263-1325 | |
| (208) 852-0770 | |
| (208) 852-3294 |
| Full Name | Advanced Dental Center |
|---|---|
| Speciality | Clinic/center |
| Location | 25 N 1st E, Preston, Idaho |
| Authorized Official Name and Position | Brett D Naylor (PRESIDENT) |
| Authorized Official Contact | 2088520770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Dental Center 25 N 1st E Preston ID 83263-1325 Ph: (208) 852-0770 | Advanced Dental Center 25 N 1st E Preston ID 83263-1325 Ph: (208) 852-0770 |
| NPI Number | 1053422691 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 08/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053422691 | NPI | - | NPPES |
| 002748900 | Medicaid | ID | |
| 61895 | Other | ID | BLUE CROSS NUMBER |
| 803810 | Other | ID | UNITED CONCORDIA NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | D3124 (Idaho) | Primary |
Health West Preston Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 655 S 4th E, Ste 600, Preston, ID 83263 Phone: 208-852-3200 Fax: 208-852-0517 | |
Willow Valley Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 47 N 1st E, Preston, ID 83263 Phone: 208-852-2900 Fax: 208-852-3511 | |
Fellows Chiropractic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8 S State St, Preston, ID 83263 Phone: 208-852-2240 | |
Willow Valley Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 47 N 1st E, Preston, ID 83263 Phone: 208-852-0137 Fax: 208-852-3812 | |
Preston Drug Health Services Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 39 N 1st E, Preston, ID 83263 Phone: 208-852-1563 Fax: 208-852-1268 | |
Preston Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 45 N 1st E, Preston, ID 83263 Phone: 208-852-3755 Fax: 208-852-3774 |