| Happy Campers Pediatric Dental | |
|
1550 E Heritage Park St Ste 150 Meridian ID 83646-6440 | |
| (208) 288-2719 | |
| Not Available |
| Full Name | Happy Campers Pediatric Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1550 E Heritage Park St Ste 150, Meridian, Idaho |
| Authorized Official Name and Position | Colton Charles (OWNER) |
| Authorized Official Contact | 5419081333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Happy Campers Pediatric Dental 1550 E Heritage Park St Ste 150 Meridian ID 83646-6440 Ph: (208) 288-2719 | Happy Campers Pediatric Dental 1550 E Heritage Park St Ste 150 Meridian ID 83646-6440 Ph: (208) 288-2719 |
| NPI Number | 1447921747 |
|---|---|
| Provider Enumeration Date | 09/26/2021 |
| Last Update Date | 09/26/2021 |
| Certification Date | 09/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447921747 | NPI | - | NPPES |
| 33495 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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