| Grin Pllc | |
|
2685 Channing Way Idaho Falls ID 83404-7518 | |
| (208) 522-1164 | |
| Not Available |
| Full Name | Grin Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2685 Channing Way, Idaho Falls, Idaho |
| Authorized Official Name and Position | James G Drake (DOCTOR/PARTNER) |
| Authorized Official Contact | 2085240870 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grin Pllc 885 Pancheri Dr Idaho Falls ID 83402-3344 Ph: (208) 524-0870 | Grin Pllc 2685 Channing Way Idaho Falls ID 83404-7518 Ph: (208) 522-1164 |
| NPI Number | 1144720103 |
|---|---|
| Provider Enumeration Date | 02/16/2018 |
| Last Update Date | 02/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144720103 | NPI | - | NPPES |
| 000886878 | Other | UNITED CONCORDIA | |
| 001493204 | Other | UNITED CONCORDIA | |
| 6K158 | Other | ID | BLUE CROSS OF IDAHO |
| 6C016 | Other | ID | BLUE CROSS OF IDAHO |
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› Verified 5 days ago
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