Ikdo Star Llc is a Pediatric Dental Clinic in Star, Idaho. It is located at 12190 W Evely Pines Ln, Star, ID and its contact number is 208-884-4466. The authorized person for Ikdo Star Llc is Michael D Payne
who is Owner of the clinic and their contact number is 208-884-4466. Ikdo Star Llc 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:
Ikdo Star Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Ikdo Star Llc
Specialization:
Pediatric Dentistry
Clinic Address:
12190 W Evely Pines Ln, Star, Idaho, 83669-6126
Phone:
208-884-4466
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:
Michael D Payne
Position:
Owner
Contact Number:
208-884-4466
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 Ikdo Star Llc clinic are as mentioned below.
NPI Number:
1861954026
NPI Enumeration Date:
04 Apr, 2019
NPI Last Update On:
08 May, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ikdo Star Llc are as mentioned below.
Specialization
License Number
State
Status
Pediatric Dentistry
Primary
Orthodontics and Dentofacial Orthopedics
Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Ikdo Star Llc 3289 N Towerbridge Way, Meridian, Idaho
Zip:
83646-8347
Phone Number:
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Patients can reach Ikdo Star Llc at 12190 W Evely Pines Ln, Star, Idaho or can call to book an appointment on 208-884-4466. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.