| Randy Demetter, DDS | |
|
140 E Boise Ave, Boise, ID 83706-4302 | |
| (208) 385-9228 | |
| Not Available |
| Full Name | Randy Demetter |
|---|---|
| Gender | Male |
| Speciality | Dentist - Periodontics |
| Location | 140 E Boise Ave, Boise, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275941288 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | ETN283 (Texas) | Secondary |
| 1223P0300X | Dentist - Periodontics | D-4831-PE (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Randy Demetter, DDS 140 E Boise Ave, Boise, ID 83706-4302 Ph: (208) 385-9228 | Randy Demetter, DDS 140 E Boise Ave, Boise, ID 83706-4302 Ph: (208) 385-9228 |
Dr. Jace C. Hansen, DMD, MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6019 N. Eagle Rd., Boise, ID 83713 Phone: 208-377-2777 Fax: 208-377-3075 | |
Dr. Helen Thu Smith, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 8321 W Overland Rd, Boise, ID 83709 Phone: 208-605-3638 | |
Benjamin A Hulbert, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 9733 W Ustick Rd, Boise, ID 83704 Phone: 208-375-8720 | |
Hanna Castleberry, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1175 E Parkcenter Blvd, Boise, ID 83706 Phone: 208-888-5544 | |
Dr. Errol Chandler Fife, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1675 Hill Rd, Boise, ID 83702 Phone: 208-342-3695 Fax: 208-342-4065 | |
Dr. Robert T Peck, DMD Dentist Medicare: Medicare Enrolled Practice Location: 7480 Northview St, Boise, ID 83704 Phone: 208-322-2727 Fax: 208-375-0225 | |
Mr. John Stanley Kriz, DDS Dentist Medicare: Medicare Enrolled Practice Location: 7235 Emerald St, Suite B, Boise, ID 83704 Phone: 208-376-7740 Fax: 208-376-0468 |