SearchIdaho1223G0001X

Fred Stillings, D.M.D

NPI 1497750145 · on the registry since 2005 · sole proprietor

Practice

Address
2015 N Locust Grove Rd
Meridian, ID 83646
Phone
(208) 867-8599
Organisation at this address
Aesthetic Smiles P Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-12-12

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