Organization
TETON VALLEY DENTAL CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSETTE BRIZZEE (OFFICE MANAGER)
(208) 354-8181
Entity
Organization
Contact information
Practice address
235 E. WALLACE AVE., DRIGGS, ID 83422-0791
(208) 354-8181
(208) 354-8182
Mailing address
PO BOX 791, 235 E WALLACE AVE., DRIGGS, ID 83422-0791
(208) 354-8181
(208) 354-8182
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D-1657
ID
261QD0000X
Dental Clinic/Center
D3634
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001212401
—
ID
05
—
80597001
—
ID
Enumeration date
04/19/2010
Last updated
04/19/2010
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