| Michael J Claymore Dds | |
|
8 N Division Street Pinehurst ID 83850-0609 | |
| (208) 682-4540 | |
| (208) 682-2339 |
| Full Name | Michael J Claymore Dds |
|---|---|
| Speciality | Dentist |
| Location | 8 N Division Street, Pinehurst, Idaho |
| Authorized Official Name and Position | Michael J Claymore (DENTIST) |
| Authorized Official Contact | 2086824540 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael J Claymore Dds Po Box 609 Pinehurst ID 83850-0609 Ph: (208) 682-4540 | Michael J Claymore Dds 8 N Division Street Pinehurst ID 83850-0609 Ph: (208) 682-4540 |
| NPI Number | 1275704561 |
|---|---|
| Provider Enumeration Date | 03/14/2008 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275704561 | NPI | - | NPPES |
| CS3387 | Other | ID | CONTROLLED SUBSTANCE |
| D1817 | Other | ID | IDAHO DENTIST NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D1817 (Idaho) | Primary |
Bird Family Dental, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8 N Division St, Pinehurst, ID 83850 Phone: 208-682-4540 |