| Peach Orthodontics | |
|
1145 E Polston Ave Post Falls ID 83854-6045 | |
| (208) 213-8385 | |
| Not Available |
| Full Name | Peach Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1145 E Polston Ave, Post Falls, Idaho |
| Authorized Official Name and Position | Cassie Wieth (DIRECTOR OF PAYOR RELATIONS) |
| Authorized Official Contact | 6232678121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peach Orthodontics 1145 E Polston Ave Post Falls ID 83854-6045 Ph: (208) 213-8385 | Peach Orthodontics 1145 E Polston Ave Post Falls ID 83854-6045 Ph: (208) 213-8385 |
| NPI Number | 1679469050 |
|---|---|
| Provider Enumeration Date | 06/13/2025 |
| Last Update Date | 06/13/2025 |
| Certification Date | 06/13/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679469050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | () | Primary |
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