| Smiles 4 Kids Jerome Pllc | |
|
115 East Rose St. Jerome ID 83338 | |
| (208) 324-7415 | |
| Not Available |
| Full Name | Smiles 4 Kids Jerome Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 115 East Rose St., Jerome, Idaho |
| Authorized Official Name and Position | Leann Sporin (OFFICE MANAGER) |
| Authorized Official Contact | 2087347415 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smiles 4 Kids Jerome Pllc Po Box 6075 Twin Falls ID 83303-6075 Ph: () - | Smiles 4 Kids Jerome Pllc 115 East Rose St. Jerome ID 83338 Ph: (208) 324-7415 |
| NPI Number | 1811683097 |
|---|---|
| Provider Enumeration Date | 04/12/2023 |
| Last Update Date | 04/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811683097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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