Organization
IDAHO ORTHODONTIC-BURLEY
Active
Organization
IDAHO ORTHODONTIC-BURLEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY TODD MCMINN DMD (ORTHODONTIST)
(208) 678-2738
Entity
Organization
Contact information
Practice address
1408 POMERELLE AVE, SUITE E, BURLEY, ID 83318-2067
(208) 678-2738
(208) 378-2731
Mailing address
1408 POMERELLE AVE, SUITE E, BURLEY, ID 83318-2067
(208) 678-2738
(208) 378-2731
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
03/11/2013
Last updated
03/11/2013
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up