| Dr Thomas Lowell Fernandes, DDS | |
|
313 N Spokane St, Post Falls, ID 83854-9513 | |
| (208) 773-4579 | |
| Not Available |
| Full Name | Dr Thomas Lowell Fernandes |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 313 N Spokane St, Post Falls, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205114162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE60802224 (Washington) | Primary |
| 122300000X | Dentist | D4886 (Idaho) | Secondary |
| Entity Name | Providence Health & Services Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194099390 PECOS PAC ID: 0345139929 Enrollment ID: O20040311001453 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Thomas Lowell Fernandes, DDS 313 N Spokane St, Post Falls, ID 83854-9513 Ph: Not Available | Dr Thomas Lowell Fernandes, DDS 313 N Spokane St, Post Falls, ID 83854-9513 Ph: (208) 773-4579 |
Dr. Darrin Peter Rich, DDS Dentist Medicare: Medicare Enrolled Practice Location: 105 E 10th Ave Ste B, Post Falls, ID 83854 Phone: 208-773-8388 |
Jason Allred, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 737 N Thornton St Ste A, Post Falls, ID 83854 Phone: 208-777-8668 Fax: 208-457-8112 |
Gregory Colton Niblack, Dentist Medicare: Not Enrolled in Medicare Practice Location: 801 E Medical Ct, Post Falls, ID 83854 Phone: 208-773-1559 |
Dr. Donna S Schau, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 1910 E Schneidmiller Ave Ste B, Post Falls, ID 83854 Phone: 208-777-8668 Fax: 208-457-8112 |
Dr. Scott Alan Johnson, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1296 E Polston Ave Ste A, Post Falls, ID 83854 Phone: 208-773-5121 Fax: 208-777-9484 |
Dr. Joshua Glen Smith, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1850 E Seltice Way, Post Falls, ID 83854 Phone: 208-777-0292 |
Dr. Russell Thomas Wilson, DDS, MSD Dentist Medicare: Not Enrolled in Medicare Practice Location: 602 N Calgary Ct Ste 302, Post Falls, ID 83854 Phone: 208-777-0500 |