| Poppleton Family Dentistry | |
|
1001 Shoshone St N Twin Falls ID 83301-6364 | |
| (208) 733-0695 | |
| (208) 736-4540 |
| Full Name | Poppleton Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1001 Shoshone St N, Twin Falls, Idaho |
| Authorized Official Name and Position | Kyle David Poppleton (OWNER) |
| Authorized Official Contact | 2087330695 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Poppleton Family Dentistry 1001 Shoshone St N Twin Falls ID 83301-6364 Ph: () - | Poppleton Family Dentistry 1001 Shoshone St N Twin Falls ID 83301-6364 Ph: (208) 733-0695 |
| NPI Number | 1972765865 |
|---|---|
| Provider Enumeration Date | 07/01/2008 |
| Last Update Date | 07/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972765865 | NPI | - | NPPES |
| 806115400 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D-3554 (Idaho) | Primary |
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