institution
Meridian Pediatric Dentistry, Pllc
Pediatric Dentist in Meridian, Idaho
NPI 1811156722

Meridian Pediatric Dentistry, Pllc is a Pediatric Dentist based in Meridian, ID and is specialized in Pediatric Dentistry. Meridian Pediatric Dentistry, Pllc practices in Meridian, ID. The NPI Number for Meridian Pediatric Dentistry, Pllc is 1811156722 and holds a License No. D-3592-PD (Idaho).

The current practice location address for Meridian Pediatric Dentistry, Pllc is 1550 E Heritage Park St Ste 150, Meridian, ID and can be reached out via phone at 208-288-2719 and via fax at 208-288-2579.

Location: 1550 E Heritage Park St Ste 150, Meridian, ID, 83646-5886
institution
Provider Profile Details
NPI Number
1811156722
Provider Name
Meridian Pediatric Dentistry, Pllc
Credential
Provider Entity Type
Organization
Address
1550 E Heritage Park St Ste 150, Meridian, ID, 83646-5886
Phone Number
208-288-2719
Fax Number
208-288-2579
Provider Enumeration Date
06/05/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
806274800 05 ID
institution
Provider Business Practice Location Address Details
Address
1550 E Heritage Park St Ste 150
City
State
Zip
83646-5886
Phone Number
208-288-2719
Fax Number
208-288-2579
person
Provider Business Mailing Address Details
Address
1550 E Heritage Park St Ste 150
City
State
Zip
83646-5886
Phone Number
208-288-2719
Fax Number
208-288-2579
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
D-3592-PD (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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