Ikdo Fruitland LLC

NPI #1184108706 in Fruitland, Idaho

Provider Information

NPI Number: 1184108706
Entity Type: Organization
Organization Name: Ikdo Fruitland LLC
Primary Specialty: Dentist - Pediatric Dentistry
Enumeration Date: Sep 19, 2018
Last Updated: Apr 16, 2019

Practice Location

Address: 1619 N WHITLEY DR
City: Fruitland
State: Idaho
ZIP Code: 83619-2162
Phone: (208) 452-4444

Authorized Official

Name: DR. MICHAEL D PAYNE, DMD
Title: PRESIDENT
Phone: (208) 371-4445

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X
Dentist - Pediatric Dentistry — Pediatric Dentistry	1223P0221X	Primary

Similar Providers

Individual Providers

Provider Name	Specialty	City
Dallin C Young, D.D.S.	Dentist - Pediatric Dentistry	Twin Falls	AI Deep Dive
DR. Rodman Owen Emory, D.D.S.	Dentist - Pediatric Dentistry	Boise	AI Deep Dive
Lawrence Wayne Meadors, D.M.D.	Dentist - Pediatric Dentistry	Meridian	AI Deep Dive
DR. Joel E Whitt, D.M.D.	Dentist - Pediatric Dentistry	Meridian	AI Deep Dive

Organizations

Provider Name	Specialty	City
Childrens Dentistry of Fruitland Part of Children's Dentistry of Idaho, Pllc	Dentist - Pediatric Dentistry	Fruitland	AI Deep Dive

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