| Childrens Dentistry Of Fruitland | |
|
1950 N Whitley Dr Fruitland ID 83619-2143 | |
| (541) 709-5500 | |
| (208) 467-5199 |
| Full Name | Childrens Dentistry Of Fruitland |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1950 N Whitley Dr, Fruitland, Idaho |
| Authorized Official Name and Position | Rachel Mitchell (BUSINESS MANAGER) |
| Authorized Official Contact | 2084675100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Childrens Dentistry Of Fruitland 1950 N Whitley Dr Fruitland ID 83619-2143 Ph: (541) 709-5500 | Childrens Dentistry Of Fruitland 1950 N Whitley Dr Fruitland ID 83619-2143 Ph: (541) 709-5500 |
| NPI Number | 1619634250 |
|---|---|
| Provider Enumeration Date | 11/18/2021 |
| Last Update Date | 11/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619634250 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
Ikdo Fruitland Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1619 N Whitley Dr, Fruitland, ID 83619 Phone: 208-452-4444 Fax: 208-452-3322 | |
Alan R. Pearce Dds, Md, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 N Whitley Dr, Suite 3, Fruitland, ID 83619 Phone: 208-452-4808 Fax: 208-452-4816 | |
Joseph D Ballenger Jr, Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 N Whitley Dr, Suite 3, Fruitland, ID 83619 Phone: 208-452-4808 Fax: 208-452-4816 |