| Collins Family Dentistry | |
|
301 E Ash St Caldwell ID 83605-5282 | |
| (208) 454-1222 | |
| (208) 459-6947 |
| Full Name | Collins Family Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 301 E Ash St, Caldwell, Idaho |
| Authorized Official Name and Position | Kyle B Collins (PRESIDENT) |
| Authorized Official Contact | 2088802483 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Collins Family Dentistry 301 E Ash St Caldwell ID 83605-5282 Ph: (208) 454-1222 | Collins Family Dentistry 301 E Ash St Caldwell ID 83605-5282 Ph: (208) 454-1222 |
| NPI Number | 1962750349 |
|---|---|
| Provider Enumeration Date | 08/16/2012 |
| Last Update Date | 08/16/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962750349 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D-4440 (Idaho) | Primary |
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