Ikdo Fruitland LLC
Ikdo Fruitland LLC is a Pediatric Dentistry in Fruitland, Idaho. Registered with an NPI since 2018.
- In the registry since
- 2018
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1619 N Whitley DrFruitland, ID 83619-2162
Phone: (208) 452-4444
Fax: (208) 452-3322
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Dentistry (primary) | Taxonomy 1223P0221X |
|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | Taxonomy 1223X0400X |
Record details
| NPI number | 1184108706 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michael Payne — President · (208) 371-4445 |
| Other names | Idaho Kids Dentistry & Orthodontics Fruitland; Idaho Kids Dentistry & Orthodontics Fruitland |
| NPI enumerated | September 19, 2018 |
| Last updated in NPPES | April 16, 2019 |
| Mailing address | 3289 N Towerbridge Way, Meridian, ID 83646-8347 |
Other providers in Fruitland
-
Childrens Dentistry of Fruitland
1950 N Whitley Dr, Fruitland, ID 83619-2143 · (541) 709-5500