# RHETT YEAKLEY DMD, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Treasure Valley Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083975304
- **Authorized official:** DR. RHETT MATTHEW YEAKLEY DMD (DENTIST)
- **Authorized official phone:** (530) 510-3884

## Contact information

- **Practice address:** 1570 E HERITAGE PARK ST STE 100, MERIDIAN, ID 83646-5886
- **Practice address phone:** (208) 884-8066
- **Practice address fax:** (208) 884-4809
- **Mailing address:** 1570 E HERITAGE PARK ST STE 100, MERIDIAN, ID 83646-5886
- **Mailing address phone:** (208) 884-8066
- **Mailing address fax:** (208) 884-4809

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D4338 | ID | Yes |

## Other

- **Enumeration date:** 06/04/2012
- **Last updated:** 06/04/2012