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Andrea S Radabaugh DDS PLLC — NPI 1811281397, Craigmont, ID | NPI Central

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NPI 1811281397

OrganizationActive

Andrea S Radabaugh DDS PLLC

NPI 1811281397 · Dentist · Craigmont, ID

Provider details

NPI number: 1811281397
Entity type: Organization
Primary specialty: DentistDental Providers
Organization subpart: No
Authorized official: Andrea Radabaugh, Owner Dentist(530) 333-7853
License: D4296 (ID)

Specialties & taxonomies

DentistPrimary122300000XLicense D4296 (ID)
Dental Providers

Practice location

420 Division Ave

Craigmont, ID 83523

Phone: (208) 924-5830

Approximate (ZIP-level) locationGet directions

More ID providers

Mailing address

Po Box 218

Craigmont, ID 83523-0218

Registry dates

Enumerated: 2011-06-02
Last updated: 2011-06-21

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.