Organization · Type 2 NPI
Dan Streeby, D.d.s.
Pediatric Dentistry · Eagle, ID
NPI number
1861015653
Active
Practice location
450 W State St Ste 180
Eagle, ID 83616-6974
Fax (208) 939-0774
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | None listed |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Another provider at this address
About NPI 1861015653
Dan Streeby, D.d.s.'s National Provider Identifier is 1861015653, issued on May 27, 2020. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Eagle, ID. The record was last updated on May 27, 2020.