Boise Toothtown Dentistry For Kids Pllc
LBN: Boise Toothtown Dentistry For Kids Pllc
Boise Toothtown Dentistry For Kids Pllc is an health care organization with primary practice located at 13014 W Persimmon Ln , Boise ID 83713-1986. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is the primary health care specialty.
Boise Toothtown Dentistry For Kids Pllc can be contacted via phone (208) 377-2072, or through Stoddard, Dennis Garth via phone (208) 453-6188.
Contact Information
Primary practice address
13014 W Persimmon Ln
Boise ID 83713-1986
Phone: (208) 377-2072
Fax: (208) 376-7580
Website:
Authorized official contact:
Name: Stoddard, Dennis Garth Doctor of Dental Medicine (DMD)
Phone: (208) 453-6188
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D4031 | Idaho |
| Dental Providers / Pediatric Dentistry | 1223P0221X | D4186PD | Idaho |
Profile Details
| NPI number | 1780037705 |
|---|---|
| LBN Legal business name | Boise Toothtown Dentistry For Kids Pllc |
| DBA Doing business as | |
| Authorized official | Stoddard, Dennis Garth Doctor of Dental Medicine (DMD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 14th, 2016 |
| Last updated | Jul 14th, 2016 - about 10 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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