| North Idaho Family Dentistry | |
|
6503 Harrison St Bonners Ferry ID 83805-8619 | |
| (208) 267-0203 | |
| (208) 943-3161 |
| Full Name | North Idaho Family Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6503 Harrison St, Bonners Ferry, Idaho |
| Authorized Official Name and Position | Taylor Geyman (GENERAL DENTIST/OWNER) |
| Authorized Official Contact | 2082670203 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Idaho Family Dentistry 6503 Harrison St Bonners Ferry ID 83805-8619 Ph: (208) 267-0203 | North Idaho Family Dentistry 6503 Harrison St Bonners Ferry ID 83805-8619 Ph: (208) 267-0203 |
| NPI Number | 1295295152 |
|---|---|
| Provider Enumeration Date | 03/25/2019 |
| Last Update Date | 03/25/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295295152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Hank Willis, Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6811 Main St, Ste A, Bonners Ferry, ID 83805 Phone: 208-267-6454 Fax: 208-267-6457 |