| Idaho Orthodontic-burley | |
|
1408 Pomerelle Ave Suite E Burley ID 83318-2067 | |
| (208) 678-2738 | |
| (208) 378-2731 |
| Full Name | Idaho Orthodontic-burley |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1408 Pomerelle Ave, Burley, Idaho |
| Authorized Official Name and Position | Jeffrey Todd Mcminn (ORTHODONTIST) |
| Authorized Official Contact | 2086782738 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Idaho Orthodontic-burley 1408 Pomerelle Ave Suite E Burley ID 83318-2067 Ph: (208) 678-2738 | Idaho Orthodontic-burley 1408 Pomerelle Ave Suite E Burley ID 83318-2067 Ph: (208) 678-2738 |
| NPI Number | 1225379654 |
|---|---|
| Provider Enumeration Date | 03/11/2013 |
| Last Update Date | 03/11/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225379654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
Evans Dental Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1308 Bennett Ave, Burley, ID 83318 Phone: 208-647-4441 | |
Burley Kids Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 859 Oakley Ave, Burley, ID 83318 Phone: 208-677-4531 | |
Dennis Michaelson D.m.d., Ms Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2271 Overland Ave Ste 4, Burley, ID 83318 Phone: 208-678-3265 Fax: 208-678-5206 | |
Stock & Garn Llp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2200 Park Ave, Suite 2, Burley, ID 83318 Phone: 208-678-8188 Fax: 208-678-3170 | |
River Valley Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2271 Overland Ave Ste 4, Burley, ID 83318 Phone: 208-678-3265 | |
Smiles 4 Kids Burley Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1408 Pomerelle Ave, Suite D, Burley, ID 83318 Phone: 208-734-7415 Fax: 208-733-1922 |