| Doctors Garrard And Wayment Dentists Pllc | |
|
301 Scott Ave Ste #3 Rupert ID 83350-1800 | |
| (208) 436-6406 | |
| (208) 436-9678 |
| Full Name | Doctors Garrard And Wayment Dentists Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 301 Scott Ave, Rupert, Idaho |
| Authorized Official Name and Position | John R Garrard (PARTNER) |
| Authorized Official Contact | 2084366406 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Doctors Garrard And Wayment Dentists Pllc Po Box 338 Rupert ID 83350-0338 Ph: (208) 436-6406 | Doctors Garrard And Wayment Dentists Pllc 301 Scott Ave Ste #3 Rupert ID 83350-1800 Ph: (208) 436-6406 |
| NPI Number | 1497974141 |
|---|---|
| Provider Enumeration Date | 04/24/2007 |
| Last Update Date | 03/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497974141 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D3400 (Idaho) | Primary |
| 1223G0001X | Dentist - General Practice | D3965 (Idaho) | Secondary |
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