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Dr. Quinn Cooper Mikesell, DMD
General Practice Dentistry in Rigby, Idaho
NPI 1205843018

Quinn Cooper Mikesell is a General Practice Dentistry based in Rigby, ID and is specialized in General Practice. Quinn Cooper Mikesell practices in Rigby, ID and has the professional credentials of DMD. The NPI Number for Quinn Cooper Mikesell is 1205843018 and holds a License No. D-3876 (Idaho).

The current practice location address for Quinn Cooper Mikesell is 711 Rigby Lake Dr. #102, Rigby, ID and can be reached out via phone at 208-745-8788 and via fax at 208-745-6104.

Location: 711 Rigby Lake Dr. #102, Rigby, ID, 83442
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205843018
Provider Name
Quinn Cooper Mikesell
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
711 Rigby Lake Dr. #102, Rigby, ID, 83442
Phone Number
208-745-8788
Fax Number
208-745-6104
Provider Enumeration Date
08/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
807203400 05 ID
institution
Provider Business Practice Location Address Details
Address
711 Rigby Lake Dr. #102
City
Rigby
State
Idaho
Zip
83442
Phone Number
208-745-8788
Fax Number
208-745-6104
person
Provider Business Mailing Address Details
Address
711 Rigby Lake Dr. #102
City
Rigby
State
Idaho
Zip
83442
Phone Number
208-745-8788
Fax Number
208-745-6104
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
D-3876 (Idaho)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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