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Dr. Thomas Matthew Dance, DDS
Pediatric Dentist in Hayden, Idaho
NPI 1518165430

Thomas Matthew Dance is a Pediatric Dentist based in Hayden, ID and is specialized in Pediatric Dentistry. Thomas Matthew Dance practices in Hayden, ID and has the professional credentials of DDS. The NPI Number for Thomas Matthew Dance is 1518165430 and holds a License No. D-4050 (Idaho).

The current practice location address for Thomas Matthew Dance is 1027 W. Prairie Ave, Hayden, ID and can be reached out via phone at 208-818-9432 and via fax at 208-772-2213.

Location: 1027 W. Prairie Ave, Hayden, ID, 83835
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518165430
Provider Name
Thomas Matthew Dance
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1027 W. Prairie Ave, Hayden, ID, 83835
Phone Number
208-818-9432
Fax Number
208-772-2213
Provider Enumeration Date
07/03/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
807729000 05 ID
institution
Provider Business Practice Location Address Details
Address
1027 W. Prairie Ave
City
Hayden
State
Idaho
Zip
83835
Phone Number
208-818-9432
Fax Number
208-772-2213
person
Provider Business Mailing Address Details
Address
1027 W. Prairie Ave
City
Hayden
State
Idaho
Zip
83835
Phone Number
208-818-9432
Fax Number
208-772-2213
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
D-4050 (Idaho)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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