| Hillary A Berry Dmd Pllc | |
|
107 Mckinley Ave Kellogg ID 83837-2501 | |
| (208) 784-0545 | |
| Not Available |
| Full Name | Hillary A Berry Dmd Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 107 Mckinley Ave, Kellogg, Idaho |
| Authorized Official Name and Position | Hillary Berry (OWNER DENTIST) |
| Authorized Official Contact | 4254091655 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hillary A Berry Dmd Pllc 2691 E Thomas Hill Dr Coeur D Alene ID 83815-6335 Ph: (425) 409-1655 | Hillary A Berry Dmd Pllc 107 Mckinley Ave Kellogg ID 83837-2501 Ph: (208) 784-0545 |
| NPI Number | 1437765252 |
|---|---|
| Provider Enumeration Date | 09/17/2020 |
| Last Update Date | 09/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437765252 | NPI | - | NPPES |
| 892252493 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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