Organization
FOUR SEASON DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIZ JOHN (OFFICE MANAGER)
(208) 237-6848
Entity
Organization
Contact information
Practice address
115 E CHAPEL RD, POCATELLO, ID 83201
(208) 237-6848
(208) 237-6811
Mailing address
115 E CHAPEL RD, POCATELLO, ID 83201
(208) 237-6848
(208) 237-6811
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D1967
ID
1223G0001X
General Practice Dentistry
D3808
ID
Other
Enumeration date
04/29/2008
Last updated
04/29/2008
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