Stone Ridge Dental P.c. - Blackfoot, ID

Stone Ridge Dental P.c.

Preferred Provider Organization in Blackfoot, Idaho

NPI 1609113455

Stone Ridge Dental P.c. is a Preferred Provider Organization based in Blackfoot, ID. Stone Ridge Dental P.c. practices in Blackfoot, ID. The NPI Number for Stone Ridge Dental P.c. is 1609113455 and holds a License No. D-4169 (Idaho).

The current practice location address for Stone Ridge Dental P.c. is 380 W Judicial St, Blackfoot, ID and can be reached out via phone at 208-785-6833.

Location: 380 W Judicial St, Blackfoot, ID, 83221-2122

NPI Number

1609113455

Provider Name

Stone Ridge Dental P.c.

Credential

Provider Entity Type

Organization

Address

380 W Judicial St, Blackfoot, ID, 83221-2122

Phone Number

208-785-6833

Fax Number

Provider Enumeration Date

01/14/2013

Last Update Date

03/09/2024

Address

380 W Judicial St

City

Blackfoot

State

Idaho

Zip

83221-2122

Phone Number

208-785-6833

Fax Number

Address

380 W Judicial St

City

Blackfoot

State

Idaho

Zip

83221-2122

Phone Number

208-785-6833

Fax Number

Type

Managed Care Organizations

Classification

Preferred Provider Organization

Speciality

Taxonomy

305R00000X

License No.

D-4169 (Idaho)

Definition

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

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