| Macneill Family Dental Pllc | |
|
1575 Ontario St Sandpoint ID 83864-1786 | |
| (208) 263-4353 | |
| Not Available |
| Full Name | Macneill Family Dental Pllc |
|---|---|
| Speciality | Dentist |
| Location | 1575 Ontario St, Sandpoint, Idaho |
| Authorized Official Name and Position | Joni Macneill (OWNER DENTIST) |
| Authorized Official Contact | 2082634353 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Macneill Family Dental Pllc 1575 Ontario St Sandpoint ID 83864-1786 Ph: (208) 263-4353 | Macneill Family Dental Pllc 1575 Ontario St Sandpoint ID 83864-1786 Ph: (208) 263-4353 |
| NPI Number | 1881066306 |
|---|---|
| Provider Enumeration Date | 10/23/2015 |
| Last Update Date | 10/23/2015 |
| Medicare PECOS PAC ID | 9739601576 |
|---|---|
| Medicare Enrollment ID | O20250320002932 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881066306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Idaho) | Primary |
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