NPI

Advanced Dentistry of McCall

NPI 1720691785

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Type
Organization
Enumeration date
2020-08-28
Last updated
2021-05-21

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Specialties

Licenses

The registry row did not include a license.

Location

Practice location
313 Deinhard Ln
City
McCall ID
Postal code
83638-4703
Phone
(208) 634-5717

Organization contact

Name
Shane Newton
Title
Owner/DMD
Phone
(208) 315-2842

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Mccall, ID. 202 records in the public file.

Public data from NPPES and CMS. Not a credentialing determination.

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