| Alligator Pediatric Dentistry ,pllc | |
|
2805 Eagle Drive Ammon ID 83406 | |
| (208) 542-1333 | |
| (208) 552-7296 |
| Full Name | Alligator Pediatric Dentistry ,pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2805 Eagle Drive, Ammon, Idaho |
| Authorized Official Name and Position | Randy G. Smith (OWNER) |
| Authorized Official Contact | 2085421333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alligator Pediatric Dentistry ,pllc 2805 Eagle Drive Ammon ID 83406 Ph: (208) 542-1333 | Alligator Pediatric Dentistry ,pllc 2805 Eagle Drive Ammon ID 83406 Ph: (208) 542-1333 |
| NPI Number | 1679747588 |
|---|---|
| Provider Enumeration Date | 04/22/2008 |
| Last Update Date | 04/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679747588 | NPI | - | NPPES |
| 8041268000 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | D3257PD (Idaho) | Primary |
Sunny Smiles Pediatric Dentistry Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3015 Eagle Dr, Ammon, ID 83406 Phone: 208-709-5333 | |
Sunrise Smiles Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2641 S 25th E, Ammon, ID 83406 Phone: 208-497-0049 | |
A Childs Smile Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3299 E. 17th Street, Ammon, ID 83406 Phone: 208-529-3007 Fax: 208-529-1525 | |
Zirker Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1801 S Ammon Rd, Ammon, ID 83406 Phone: 208-528-7665 Fax: 208-522-9556 | |
James Oral And Maxillofacial Surgery Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2677 E 17th St Ste 600, Ammon, ID 83406 Phone: 208-705-9652 | |
Zirker Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1801 S Ammon Rd, Ammon, ID 83406 Phone: 208-528-7665 Fax: 208-522-9556 |