Organization · Type 2 NPI
Tdcjerome PLLC
General Practice Dentistry · Jerome, ID
NPI number
1104229913
Active
Practice location
119 Country Ln
Jerome, ID 83338-6147
Fax (208) 324-8899
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | D4052 (ID) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Another provider at this address
Other general practice dentistry providers in Jerome
About NPI 1104229913
Tdcjerome PLLC's National Provider Identifier is 1104229913, issued on Oct 7, 2014. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Jerome, ID. The record was last updated on Oct 7, 2014.