| Michael J. Mccall D.d.s., Pa | |
|
306 Main Street Kamiah ID 83536 | |
| (208) 935-2143 | |
| Not Available |
| Full Name | Michael J. Mccall D.d.s., Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 306 Main Street, Kamiah, Idaho |
| Authorized Official Name and Position | Michael James Mccall (PRESIDENT) |
| Authorized Official Contact | 2089352143 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael J. Mccall D.d.s., Pa 306 Main Street P.o. Box 458 Kamiah ID 83536 Ph: (208) 935-2143 | Michael J. Mccall D.d.s., Pa 306 Main Street Kamiah ID 83536 Ph: (208) 935-2143 |
| NPI Number | 1013021575 |
|---|---|
| Provider Enumeration Date | 08/19/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013021575 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | C128433 (Idaho) | Primary |