Advanced Dentistry of Mccall

NPI #1720691785 in Mccall, Idaho

Provider Information

NPI Number: 1720691785
Entity Type: Organization
Organization Name: Advanced Dentistry of Mccall
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Aug 28, 2020
Last Updated: May 21, 2021

Practice Location

Address: 313 DEINHARD LN
City: Mccall
State: Idaho
ZIP Code: 83638-4703
Phone: (208) 634-5717

Authorized Official

Name: DR. SHANE NEWTON
Title: OWNER/DMD
Phone: (208) 315-2842

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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