Sawtooth Periodontics Pllc

NPI #1184482317 in Hailey, Idaho

Provider Information

NPI Number: 1184482317
Entity Type: Organization
Organization Name: Sawtooth Periodontics Pllc
Primary Specialty: Dentist - Periodontics
Enumeration Date: Mar 12, 2024
Last Updated: Mar 12, 2024

Practice Location

Address: 400 S MAIN ST STE 202
City: Hailey
State: Idaho
ZIP Code: 83333-8856
Phone: (208) 971-4989

Authorized Official

Name: DR. KIP KATSEANES, DMD, MSD
Title: OWNER/DOCTOR
Phone: (843) 530-4854

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Periodontics — Periodontics	1223P0300X	Primary

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