Dan Streeby, DDS
Dan Streeby, DDS is a Pediatric Dentistry in Eagle, Idaho. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
450 W State St Ste 180Eagle, ID 83616-6974
Phone: (208) 939-0600
Fax: (208) 939-0774
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Dentistry (primary) | Taxonomy 1223P0221X |
|---|
Record details
| NPI number | 1861015653 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Dan Streeby — Owner · (208) 939-0600 |
| NPI enumerated | May 27, 2020 |
| Last updated in NPPES | May 27, 2020 |
| Certification date | May 27, 2020 |
| Mailing address | 450 W State St Ste 180, Eagle, ID 83616-6974 |