Pheasant Cove Dental is a Dental Clinic in Kimberly, Idaho. It is located at 702 Center St W, Kimberly, ID and its contact number is 208-423-6444. The authorized person for Pheasant Cove Dental is Dr. Kent J Allen
who is Owner of the clinic and their contact number is 208-423-6444. The primary license number for Pheasant Cove Dental is D1767 (General Practice) in California. Pheasant Cove Dental Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Pheasant Cove Dental Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Pheasant Cove Dental
Specialization:
General Practice Dentistry
Clinic Address:
702 Center St W, Kimberly, Idaho, 83341
Phone:
208-423-6444
Fax:
208-423-6903
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:
Dr. Kent J Allen
Position:
Owner
Contact Number:
208-423-6444
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 Pheasant Cove Dental clinic are as mentioned below.
NPI Number:
1770769325
NPI Enumeration Date:
14 Jan, 2008
NPI Last Update On:
14 Jan, 2008
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Pheasant Cove Dental are as mentioned below.
Specialization
License Number
State
Status
General Practice
D1767
California
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
000876700
Medicaid
Idaho
9201818
Other
Idaho
Smiles
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Pheasant Cove Dental 702 Center Street West, Po Box B Kimberly, Idaho
Zip:
83341
Phone Number:
208-423-6444
Fax Number:
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Patients can reach Pheasant Cove Dental at 702 Center St W, Kimberly, Idaho or can call to book an appointment on 208-423-6444. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.