| Challis Dental Pllc | |
|
121 S 12th St Challis ID 83226 | |
| (208) 589-9107 | |
| Not Available |
| Full Name | Challis Dental Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 121 S 12th St, Challis, Idaho |
| Authorized Official Name and Position | Richard Dee Stoker (MEMBER) |
| Authorized Official Contact | 2085899107 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Challis Dental Pllc 121 S 12th St Challis ID 83226 Ph: (208) 589-9107 | Challis Dental Pllc 121 S 12th St Challis ID 83226 Ph: (208) 589-9107 |
| NPI Number | 1932793866 |
|---|---|
| Provider Enumeration Date | 02/22/2021 |
| Last Update Date | 02/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932793866 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Two Rivers Dental, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 810 Hwy 93 S, Challis, ID 83226 Phone: 208-879-2124 Fax: 208-879-2169 |