MEDICARE: MONTE ROSCOE EPPICH DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	D3548	ID

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000010152980	OTHER	ID	BLUE SHIELD
2	60498	OTHER	ID	BLUE CROSS

General Provider Information

NPI Number	:	1952572950
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MONTE ROSCOE EPPICH DDS

Provider Business Mailing Address
First Line	:	PO BOX 428
Second Line	:
City	:	COUNCIL
State	:	ID
Zip	:	83612-0428
Country	:	US
Telephone Number	:	208-253-4242
Fax Number	:	208-253-6849

Provider Business Practice Location Address
First Line	:	205 N BERKLEY ST
Second Line	:
City	:	COUNCIL
State	:	ID
Zip	:	83612-0428
Country	:	US
Telephone Number	:	208-253-4242
Fax Number	:	208-253-6849

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/18/2008
Last Update Date	:	03/18/2008

Similar Medicare Providers

1710915897 — ADAMS COUNTY HEALTH CENTER INC
Practice Location Address:

205 N BERKLEY
COUNCIL, ID
83612-0428

Practice Phone: 208-253-4242
Practice Fax: 208-253-6849

1619973401 — DR. GREGORY GRANT SMITH D.D.S.
Practice Location Address:

205 N BERKLEY ST
COUNCIL, ID
83612-5015

Practice Phone: 208-253-4242
Practice Fax:

1114967098 — DR. KENNETH CHARLES PRINCE DDS
Practice Location Address:

205 N BERKLEY AVE
COUNCIL, ID
83612

Practice Phone: 208-253-4242
Practice Fax:

1346259777 — MOUNTAINS WEST DENTAL PLLC
Practice Location Address:

502 N DARTMOUTH , MOUNTAINS WEST DENTAL CLINIC PLLC
COUNCIL, ID
83612

Practice Phone: 208-253-6077
Practice Fax: 208-253-6076

1861558868 — COUNCIL VALLEY AMBULANCE
Practice Location Address:

205 N BERKLEY
COUNCIL, ID
83612-0390

Practice Phone: 208-253-4778
Practice Fax: 208-253-4778

1225187172 — KARA LYNN DILLON RDH EA
Practice Location Address:

205 N BERKLEY
COUNCIL, ID
83612

Practice Phone: 208-253-6447
Practice Fax: 208-253-6849

Directions to “ MONTE ROSCOE EPPICH DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.