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Dan Streeby, D.d.s.
Pediatric Dentist in Eagle, Idaho
NPI 1861015653

Dan Streeby, D.d.s. is a Pediatric Dentist based in Eagle, ID and is specialized in Pediatric Dentistry. Dan Streeby, D.d.s. practices in Eagle, ID. The NPI Number for Dan Streeby, D.d.s. is 1861015653 and holds a License No. (Idaho).

The current practice location address for Dan Streeby, D.d.s. is 450 W State St Ste 180, Eagle, ID and can be reached out via phone at 208-939-0600 and via fax at 208-939-0774. You can also correspond with Dan Streeby, D.d.s. through the mailing address at 450 W STATE ST STE 180, EAGLE, ID - 83616-6974 (mailing address contact number: 208-939-0600).

Location: 450 W State St Ste 180, Eagle, ID, 83616-6974
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1861015653
Provider Name
Dan Streeby, D.d.s.
Credential
Provider Entity Type
Organization
Address
450 W State St Ste 180, Eagle, ID, 83616-6974
Phone Number
208-939-0600
Fax Number
208-939-0774
Provider Enumeration Date
05/27/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
28911 05 ID
institution
Provider Business Practice Location Address Details
Address
450 W State St Ste 180
City
Eagle
State
Idaho
Zip
83616-6974
Phone Number
208-939-0600
Fax Number
208-939-0774
person
Provider Business Mailing Address Details
Address
450 W State St Ste 180
City
Eagle
State
Idaho
Zip
83616-6974
Phone Number
208-939-0600
Fax Number
208-939-0774
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
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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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