| Advanced Dental Pc | |
|
25 N 1st E Preston ID 83263-1325 | |
| (208) 852-0770 | |
| (208) 852-3294 |
| Full Name | Advanced Dental Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 25 N 1st E, Preston, Idaho |
| Authorized Official Name and Position | Ryan Hirschi (OWNER/DENTIST) |
| Authorized Official Contact | 2088520770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Dental Pc 25 N 1st E Preston ID 83263-1325 Ph: (208) 852-0770 | Advanced Dental Pc 25 N 1st E Preston ID 83263-1325 Ph: (208) 852-0770 |
| NPI Number | 1093361818 |
|---|---|
| Provider Enumeration Date | 08/16/2019 |
| Last Update Date | 08/16/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093361818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Justin Carter Dds P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 395 E 600 S, Preston, ID 83263 Phone: 208-852-0194 | |
Thomas R. Hull D.d.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 35 S State St, Preston, ID 83263 Phone: 208-852-0194 Fax: 208-852-3817 | |
Kelley Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 35 S State St, Preston, ID 83263 Phone: 208-852-2564 | |
Preston Dental Care, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 135 S State St, Preston, ID 83263 Phone: 208-852-3700 Fax: 208-852-3777 |