# TODAYS DENTAL CARE WENDELL LLC

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

## Provider details

- **NPI number:** 1639572456
- **Authorized official:** DR. JEREMIAH FUNK (DENTIST)
- **Authorized official phone:** (208) 536-5441

## Contact information

- **Practice address:** 410 N IDAHO ST, WENDELL, ID 83355-5038
- **Practice address phone:** (208) 536-5441
- **Practice address fax:** (208) 536-5873
- **Mailing address:** 119 COUNTRY LN, JEROME, ID 83338-6147
- **Mailing address phone:** (208) 324-8861
- **Mailing address fax:** (208) 324-8899

## Taxonomy

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

## Other

- **Enumeration date:** 10/07/2014
- **Last updated:** 02/23/2023