Idaho Dental Professionals, P.c.

NPI #1467315275 in Emmett, Idaho

Provider Information

NPI Number: 1467315275
Entity Type: Organization
Organization Name: Idaho Dental Professionals, P.c.
Subpart: Yes (part of a larger organization)
Parent Organization: IDAHO DENTAL PROFESSIONALS, P.C.
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 8, 2025
Last Updated: Dec 8, 2025

Practice Location

Address: 2003 E QUAIL RUN RD
City: Emmett
State: Idaho
ZIP Code: 83617-5059
Phone: (208) 365-3534

Authorized Official

Name: CEMYIRA MCDOUGAL
Title: CREDENTIALING COORDINATOR
Phone: (217) 764-8609

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