Organization
ROCK CREEK DENTAL
Inactive
Other names
Dr John C. Roberts/Dr Kevin W. Hall
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN C ROBERTS D.D.S. (DENTIST)
(208) 733-5346
Entity
Organization
Contact information
Practice address
256 MARTIN ST, TWIN FALLS, ID 83301-4542
(208) 733-5346
(208) 736-7082
Mailing address
256 MARTIN ST, TWIN FALLS, ID 83301-4542
(208) 733-5346
(208) 736-7082
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
D3166
ID
261QD0000X
Dental Clinic/Center
Primary
D3520
ID
Other
Enumeration date
08/25/2006
Last updated
01/29/2025
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