# NEERINGS DENTAL INC, DBA TETON VALLEY DENTAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043633712
- **Authorized official:** DR. JIM REED NEERINGS DDS (DENTIST)
- **Authorized official phone:** (208) 354-8181

## Contact information

- **Practice address:** 235 WALLACE AVE, DRIGGS, ID 83422
- **Practice address phone:** (208) 354-8181
- **Practice address fax:** (208) 354-8182
- **Mailing address:** PO BOX 791, DRIGGS, ID 83422-0791
- **Mailing address phone:** (208) 354-8181
- **Mailing address fax:** (208) 354-8182

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | D3951 | ID | Yes |

## Other

- **Enumeration date:** 01/30/2014
- **Last updated:** 01/30/2014