| The Center For Sleep Apnea And Tmj Pa | |
|
1718 S. Millennium Way Meridian ID 83642-1511 | |
| (208) 376-3600 | |
| (208) 376-3616 |
| Full Name | The Center For Sleep Apnea And Tmj Pa |
|---|---|
| Speciality | Dentist |
| Location | 1718 S. Millennium Way, Meridian, Idaho |
| Authorized Official Name and Position | Cameron Kuehne (OWNER) |
| Authorized Official Contact | 2083763600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Center For Sleep Apnea And Tmj Pa 1718 S. Millennium Way Meridian ID 83642-1511 Ph: (208) 376-3600 | The Center For Sleep Apnea And Tmj Pa 1718 S. Millennium Way Meridian ID 83642-1511 Ph: (208) 376-3600 |
| NPI Number | 1003969288 |
|---|---|
| Provider Enumeration Date | 01/19/2007 |
| Last Update Date | 06/01/2023 |
| Medicare PECOS PAC ID | 9537179726 |
|---|---|
| Medicare Enrollment ID | O20060503000084 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003969288 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D3199 (Idaho) | Primary |
| Provider Name | Jamison R Spencer |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1285654848 PECOS PAC ID: 0648267153 Enrollment ID: I20040427001348 |
| Provider Name | Cameron A Kuehne |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1013145754 PECOS PAC ID: 4688720071 Enrollment ID: I20090928000183 |
| Provider Name | Keith L. Stucki |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1780792010 PECOS PAC ID: 6103080874 Enrollment ID: I20150805006820 |
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