Dental Center P.l.l.c. | |
815 N 6th E Mountain Home ID 83647-2207 | |
(208) 587-7949 | |
(208) 587-2978 |
Full Name | Dental Center P.l.l.c. |
---|---|
Speciality | Dentist - General Practice |
Location | 815 N 6th E, Mountain Home, Idaho |
Authorized Official Name and Position | R. Terry Hall (OWNER) |
Authorized Official Contact | 2085877949 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dental Center P.l.l.c. 815 N 6th E Mountain Home ID 83647-2207 Ph: (208) 587-7949 | Dental Center P.l.l.c. 815 N 6th E Mountain Home ID 83647-2207 Ph: (208) 587-7949 |
NPI Number | 1144335886 |
---|---|
Provider Enumeration Date | 08/21/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144335886 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | D3126 (Idaho) | Primary |
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