Clubhouse Pediatric Dentistry Of Madison is a Pediatric Dental Clinic in Rexburg, Idaho. It is located at 859 S Yellowstone Hwy, Rexburg, ID and its contact number is 208-552-5439. The authorized person for Clubhouse Pediatric Dentistry Of Madison is Mrs. Jennifer Louise Robison
who is Financial Coordinator of the clinic and their contact number is 208-520-1514. Clubhouse Pediatric Dentistry Of Madison Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Clubhouse Pediatric Dentistry Of Madison Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Clubhouse Pediatric Dentistry Of Madison
Specialization:
Pediatric Dentistry
Clinic Address:
859 S Yellowstone Hwy, Rexburg, Idaho, 83440-5293
Phone:
208-552-5439
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Mrs. Jennifer Louise Robison
Position:
Financial Coordinator
Contact Number:
208-520-1514
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Clubhouse Pediatric Dentistry Of Madison clinic are as mentioned below.
NPI Number:
1306321351
NPI Enumeration Date:
26 Sep, 2018
NPI Last Update On:
26 Sep, 2018
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Clubhouse Pediatric Dentistry Of Madison are as mentioned below.
Specialization
License Number
State
Status
Pediatric Dentistry
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
28954
Medicaid
Idaho
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Clubhouse Pediatric Dentistry Of Madison 859 S Yellowstone Hwy, Rexburg, Idaho
Zip:
83440-5293
Phone Number:
208-552-5439
Patients can reach Clubhouse Pediatric Dentistry Of Madison at 859 S Yellowstone Hwy, Rexburg, Idaho or can call to book an appointment on 208-552-5439. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.