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Organization

SCOTT FEATHERSTONE DDS PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SCOTT L FEATHERSTONE DDS (MANAGER/MEMBER)
(208) 726-8272
Entity
Organization

Contact information

Practice address
333 MAIN STREET SOUTH, SUITE 110, KETCHUM, ID 83340
(208) 726-8272
Mailing address
PO BOX 1328, KETCHUM, ID 83340
(208) 721-8272

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D3802
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1851496137
NPI
01
D3802
IDAHO LICENSE
ID
Enumeration date
06/05/2008
Last updated
02/24/2022
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