# PRESTON DENTAL CARE, PLLC

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

## Provider details

- **NPI number:** 1548432081
- **Authorized official:** DR. KURT O IVERSON D.D.S. (OWNER)
- **Authorized official phone:** (208) 852-3700

## Contact information

- **Practice address:** 135 S STATE ST, PRESTON, ID 83263-1240
- **Practice address phone:** (208) 852-3700
- **Practice address fax:** (208) 852-3777
- **Mailing address:** 135 S STATE ST, PRESTON, ID 83263-1240
- **Mailing address phone:** (208) 852-3700
- **Mailing address fax:** (208) 852-3777

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | D3402 | ID | Yes |

## Other

- **Enumeration date:** 03/25/2008
- **Last updated:** 03/25/2008