NPI 1013021575

Michael J. McCall D.D.S., PA

Organisation Dental Clinic/Center Kamiah, ID

Practice location

Address: 306 Main Street, Kamiah, ID 83536
Phone: (208) 935-2143
Mailing address: 306 Main Street P.O. Box 458, Kamiah, ID 83536

Authorised official

Name: Michael James McCall
Title: President
Phone: (208) 935-2143

Registered specialties

Dental Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QD0000X Licence C128433 (ID)

Other Clinic/Center providers in Idaho →

Registry record

NPI: 1013021575
Entity type: Organization
NPI issued: 19 Aug 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.