SearchIdahoGeneral Practice Dentistry

Maximilian Pacheco, DMD

NPI 1306524160 · on the registry since 2023 · sole proprietor

Practice

Address
1067 S Wells St
Meridian, ID 83642
Phone
(208) 895-8486
Organisation at this address
Mcrae Dental Pa
Warford Orthodontics
Breathe Airway Meridian Llc
Mountain West Medical Services Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
8

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
2023-08-23
Status
Not present in the most recent federal file

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