| Salmon Dental Center Pllc | |
|
207 Margaret St Salmon ID 83467-4400 | |
| (208) 756-2262 | |
| (208) 756-4473 |
| Full Name | Salmon Dental Center Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 207 Margaret St, Salmon, Idaho |
| Authorized Official Name and Position | Mark S. Oliverson (GENERAL DENTIST) |
| Authorized Official Contact | 2087562262 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Salmon Dental Center Pllc 207 Margaret St Salmon ID 83467-4400 Ph: (208) 756-2262 | Salmon Dental Center Pllc 207 Margaret St Salmon ID 83467-4400 Ph: (208) 756-2262 |
| NPI Number | 1801058862 |
|---|---|
| Provider Enumeration Date | 06/30/2008 |
| Last Update Date | 10/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801058862 | NPI | - | NPPES |
| 807527500 | Medicaid | ID | |
| 9202414 | Other | ID | IDAHO SMILES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D-4013 (Idaho) | Primary |
Two Rivers Dental, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Courthouse Dr, Salmon, ID 83467 Phone: 208-756-1002 | |
Gregory S Holbrook, Dmd, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1301 Main St, Suite 9, Salmon, ID 83467 Phone: 208-756-2899 Fax: 208-756-4686 | |
Joseph L. Rodriguez Dds And Associates Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1301 Main St, Suite 9, Salmon, ID 83467 Phone: 804-513-9434 |