| Priest River Dental | |
|
314 E Albeni Hwy Suite 101 Priest River ID 83856-9207 | |
| (208) 448-2694 | |
| (208) 448-1703 |
| Full Name | Priest River Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 314 E Albeni Hwy, Priest River, Idaho |
| Authorized Official Name and Position | Tyler Shoemaker (CEO) |
| Authorized Official Contact | 2084482694 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Priest River Dental 314 E Albeni Hwy Suite 101 Priest River ID 83856-9207 Ph: (208) 448-2694 | Priest River Dental 314 E Albeni Hwy Suite 101 Priest River ID 83856-9207 Ph: (208) 448-2694 |
| NPI Number | 1578738068 |
|---|---|
| Provider Enumeration Date | 04/25/2008 |
| Last Update Date | 04/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578738068 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D4128 (Idaho) | Primary |
Intermountain Dental, Pc Dental Clinic Medicare: Medicare Enrolled Practice Location: 103 Main St, Priest River, ID 83856 Phone: 208-448-1241 Fax: 208-448-1242 | |
Priest River Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6509 Highway 2 Ste 102, Priest River, ID 83856 Phone: 208-448-2694 Fax: 208-448-1703 |