| Mountain Home Dental Pc | |
|
455 N 3rd E Mountain Home ID 83647 | |
| (208) 587-2625 | |
| Not Available |
| Full Name | Mountain Home Dental Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 455 N 3rd E, Mountain Home, Idaho |
| Authorized Official Name and Position | Jared Sexauer (DENTIST) |
| Authorized Official Contact | 2085993189 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Home Dental Pc 685 N 4th E Mountain Home ID 83647-2134 Ph: (208) 599-3189 | Mountain Home Dental Pc 455 N 3rd E Mountain Home ID 83647 Ph: (208) 587-2625 |
| NPI Number | 1801437447 |
|---|---|
| Provider Enumeration Date | 10/04/2019 |
| Last Update Date | 01/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801437447 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Hsc Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2355 American Legion Blvd, Mountain Home, ID 83647 Phone: 208-587-7949 | |
Dental Center P.l.l.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 815 N 6th E, Mountain Home, ID 83647 Phone: 208-587-7949 Fax: 208-587-2978 | |
John E. Goodrich, D.d.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 450 Airbase Rd, Mountain Home, ID 83647 Phone: 208-587-3314 Fax: 208-587-3921 | |
Playhouse Dentistry For Kids Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 S 10th E, Mountain Home, ID 83647 Phone: 208-453-6188 | |
Spartan Dental Company, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 925 W Airbase Rd, Mountain Home, ID 83647 Phone: 208-590-0966 Fax: 208-587-1906 | |
Glenns Ferry Health Center, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 Desert Sage Way, Mountain Home, ID 83647 Phone: 208-696-7203 |