| Scott Featherstone Dds Pllc | |
|
333 Main Street South Suite 110 Ketchum ID 83340 | |
| (208) 726-8272 | |
| Not Available |
| Full Name | Scott Featherstone Dds Pllc |
|---|---|
| Speciality | Dentist |
| Location | 333 Main Street South, Ketchum, Idaho |
| Authorized Official Name and Position | Scott L Featherstone (MANAGER/MEMBER) |
| Authorized Official Contact | 2087268272 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Scott Featherstone Dds Pllc Po Box 1328 Ketchum ID 83340 Ph: (208) 721-8272 | Scott Featherstone Dds Pllc 333 Main Street South Suite 110 Ketchum ID 83340 Ph: (208) 726-8272 |
| NPI Number | 1689833543 |
|---|---|
| Provider Enumeration Date | 06/05/2008 |
| Last Update Date | 02/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689833543 | NPI | - | NPPES |
| 1851496137 | Other | NPI | |
| D3802 | Other | ID | IDAHO LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D3802 (Idaho) | Primary |
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