| The Kids Dentist And Orthodontics | |
|
2300 W Everest Ln Ste 125 Meridian ID 83646-6113 | |
| (208) 938-6343 | |
| Not Available |
| Full Name | The Kids Dentist And Orthodontics |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2300 W Everest Ln Ste 125, Meridian, Idaho |
| Authorized Official Name and Position | Joel E Whitt (PRESIDENT) |
| Authorized Official Contact | 2086312212 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Kids Dentist And Orthodontics 3235 N Towerbridge Way Ste 200 Meridian ID 83646-5721 Ph: (208) 888-7711 | The Kids Dentist And Orthodontics 2300 W Everest Ln Ste 125 Meridian ID 83646-6113 Ph: (208) 938-6343 |
| NPI Number | 1205330420 |
|---|---|
| Provider Enumeration Date | 03/21/2018 |
| Last Update Date | 03/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205330420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | D3868-PD (Idaho) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (Idaho) | Secondary |
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