| Idaho Street Dental | |
|
305 W Idaho St Boise ID 83702-6040 | |
| (208) 343-7271 | |
| Not Available |
| Full Name | Idaho Street Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 305 W Idaho St, Boise, Idaho |
| Authorized Official Name and Position | Justin Greg Frandsen (OWNER) |
| Authorized Official Contact | 2088210781 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Idaho Street Dental 305 W Idaho St Boise ID 83702-6040 Ph: (208) 343-7271 | Idaho Street Dental 305 W Idaho St Boise ID 83702-6040 Ph: (208) 343-7271 |
| NPI Number | 1962992552 |
|---|---|
| Provider Enumeration Date | 05/18/2018 |
| Last Update Date | 05/18/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962992552 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D-4223 (Idaho) | Primary |
| 261QD0000X | Clinic/center - Dental | D-4838 (Idaho) | Secondary |
Idaho Smiles Assoc. Plls Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 W Idaho St, Boise, ID 83702 Phone: 208-343-7271 | |
Treasure Valley Oral And Facial Surgery Pllc Dental Clinic Medicare: Medicare Enrolled Practice Location: 1000 N. Curtis Rd, Suite 103, Boise, ID 83706 Phone: 208-343-0909 Fax: 208-343-6282 | |
A Reason To Smile, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2803 N Bogus Basin Rd, Boise, ID 83702 Phone: 208-343-1393 Fax: 208-388-8462 | |
Emerald Smiles Dentistry, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 675 N Milwaukee St Ste 110, Boise, ID 83704 Phone: 208-593-3221 | |
Boise Smiles Youth Dentistry, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8744 Fairview Ave, Boise, ID 83704 Phone: 208-322-3010 Fax: 208-322-9273 | |
Quality Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10200 W Emerald, Suite 105, Boise, ID 83704 Phone: 208-376-7954 Fax: 208-323-4859 | |
Affordable Dentures & Implants - Idaho Ii, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1410 S Entertainment Ave, Boise, ID 83709 Phone: 208-321-4937 |