Allied Dental Clinic, Pc

LBN: Allied Dental Clinic, Pc
Allied Dental Clinic, Pc is an health care organization with primary practice located at 1246 Yellowstone Ave Ste B3 , Pocatello ID 83201-4372. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Allied Dental Clinic, Pc can be contacted via phone (208) 237-0563, or through Snow, Randall C via phone (208) 237-0563.

Contact Information

Primary practice address
1246 Yellowstone Ave Ste B3 Pocatello ID 83201-4372
Phone: (208) 237-0563
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Snow, Randall C Doctor of Dental Medicine (DMD)
Phone: (208) 237-0563

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D3171 Idaho

Profile Details

NPI number 1790999407
LBN Legal business name Allied Dental Clinic, Pc
DBA Doing business as
Authorized official Snow, Randall C Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date May 10th, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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