SearchIdahoGeneral Practice Dentistry

Colton Charles, DMD

NPI 1073826772 · on the registry since 2010

Practice

Address
450 W State St Ste 180
Eagle, ID 83616
Phone
(208) 939-0600
Organisation at this address
Mrc Llc
Kinesis, Llc
Dan Streeby, D.D.S.
Grange Ophthalmology, Pllc
Grange Surgery Center Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
14

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-06-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho