MOUNTAIN VIEW DENTAL CLINIC - NPI 1710158886 - Clinic/Center in Soda Springs, ID

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.

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About Mountain View Dental Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOUNTAIN VIEW DENTAL CLINIC (NPI 1710158886) is a healthcare organization registered as a dental in Soda Springs, Idaho and active in the NPI registry since March 2008. The organization lists Jerry H Walker, Owner, as its authorized official.

NPPES Registry Identity

NPI1710158886

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameMOUNTAIN VIEW DENTAL CLINIC

Location Address390 SOUTH 3RD WESTSoda Springs, ID 83276

Mailing Address390 South 3rd WestSoda Springs, ID 83276 · (208) 547-2220 · Fax (208) 547-2224

Phone(208) 547-2220

Fax(208) 547-2224

Organization SubpartNo

Authorized OfficialJerry H WalkerOwner · (208) 547-2220

Enumeration DateMarch 17, 2008

Last NPPES UpdateMay 26, 2009

✔ NPI 1710158886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

License✔ Licensed in ID · D3839

390 SOUTH 3RD WEST, Soda Springs, ID 83276

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Other Identifiers 2

Other9203147ID · Idaho Smiles-medicaid

Medicaid807893200ID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JERRY H WALKER DMD

Dentist (General Practice)

390 SOUTH 3RD WEST
SODA SPRINGS, ID 83276

Caribou County (208) 547-2220

Frequently Asked Questions

What is MOUNTAIN VIEW DENTAL CLINIC's NPI number?

The NPI number assigned to this healthcare provider is 1710158886, enumerated as an "organization" on March 17, 2008.

Where is the provider located?

The provider is located at 390 SOUTH 3RD WEST SODA SPRINGS, ID 83276 and the phone number is (208) 547-2220.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.

What insurance does MOUNTAIN VIEW DENTAL CLINIC accept?

The provider might be accepting Accepts: UnitedHealthcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.