| Level Up Family Dental | |
|
1100 E Riverside Dr Eagle ID 83616-7707 | |
| (208) 398-3020 | |
| Not Available |
| Full Name | Level Up Family Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1100 E Riverside Dr, Eagle, Idaho |
| Authorized Official Name and Position | Grason Joseph Hadfield (GENERAL DENTIST) |
| Authorized Official Contact | 2083983020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Level Up Family Dental 3157 N Vigo Ave Star ID 83669-1066 Ph: (208) 870-1778 | Level Up Family Dental 1100 E Riverside Dr Eagle ID 83616-7707 Ph: (208) 398-3020 |
| NPI Number | 1558201509 |
|---|---|
| Provider Enumeration Date | 03/30/2026 |
| Last Update Date | 03/30/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558201509 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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