Organization
RUSSELL C. POOL, DMD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL C. POOL DMD (PRESIDENT)
(208) 467-2545
Entity
Organization
Contact information
Practice address
109 12TH AVE RD, NAMPA, ID 83686-5047
(208) 467-2545
(208) 466-3607
Mailing address
109 12TH AVE RD, NAMPA, ID 83686-5047
(208) 467-2545
(208) 466-3607
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D1687
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
66852
BLUE SHIELD OF IDAHO
ID
Enumeration date
06/25/2008
Last updated
06/25/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us