OrganizationActive
208 Dental
NPI 1356945539 · General Practice Dentistry · Meridian, ID
Provider details
- NPI number
- 1356945539
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Eric Goettsche, Manager(208) 501-8860
Specialties & taxonomies
Dental Providers
Practice location
53 E Calderwood Dr # 110
Meridian, ID 83642-7440
Phone: (208) 501-8860
Fax: (208) 501-8862
Approximate (ZIP-level) locationGet directions
Mailing address
53 E Calderwood Dr # 110
Meridian, ID 83642-7440
Registry dates
- Enumerated
- 2020-11-28
- Last updated
- 2022-07-11
- Certified
- 2022-07-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.