Individual
SCOTT D DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3315 S HOLMES AVE, IDAHO FALLS, ID 83404
(208) 522-4491
(208) 522-4662
Mailing address
3315 S HOLMES AVE, IDAHO FALLS, ID 83404
(208) 522-4491
(208) 522-4662
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D1797
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010009403
BLUE SHIELD OF IDAHO
ID
01
—
6D980
BLUE CROSS OF IDAHO
ID
01
—
853815
UNITED CONCORDIA
—
Enumeration date
10/02/2006
Last updated
07/08/2007
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