# SCOTT FEATHERSTONE DDS PLLC

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

## Provider details

- **NPI number:** 1689833543
- **Authorized official:** DR. SCOTT L FEATHERSTONE DDS (MANAGER/MEMBER)
- **Authorized official phone:** (208) 726-8272

## Contact information

- **Practice address:** 333 MAIN STREET SOUTH, SUITE 110, KETCHUM, ID 83340
- **Practice address phone:** (208) 726-8272
- **Mailing address:** PO BOX 1328, KETCHUM, ID 83340
- **Mailing address phone:** (208) 721-8272

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | D3802 | ID | Yes |

## Other

- **Enumeration date:** 06/05/2008
- **Last updated:** 02/24/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1851496137 | NPI | — |
| 01 | — | D3802 | IDAHO LICENSE | ID |