Dance Dentistry Pllc

NPI #1548637994 in Hayden, Idaho

Provider Information

NPI Number: 1548637994
Entity Type: Organization
Organization Name: Dance Dentistry Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 1, 2015
Last Updated: Aug 14, 2018

Practice Location

Address: 1027 W PRAIRIE AVE
City: Hayden
State: Idaho
ZIP Code: 83835
Phone: (208) 772-2202

Authorized Official

Name: THOMAS DANCE, DDS
Title: OWNER
Phone: (208) 772-2202

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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