Brian W Charles Dmd

LBN: Brian W Charles Dmd
Brian W Charles Dmd is an health care organization with primary practice located at 509 Pine St , Mccall ID 83638-5017. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Brian W Charles Dmd can be contacted via phone (208) 634-7653, or through Charles, Brian W via phone (208) 634-7653.

Contact Information

Primary practice address
509 Pine St Mccall ID 83638-5017
Phone: (208) 634-7653
Fax: (208) 634-4568
Website:
Map and Directions
Authorized official contact:
Name: Charles, Brian W Doctor of Dental Medicine (DMD)
Phone: (208) 634-7653

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X N-08582 Idaho

Profile Details

NPI number 1023324621
LBN Legal business name Brian W Charles Dmd
DBA Doing business as
Authorized official Charles, Brian W Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 20th, 2010
Last updated Aug 20th, 2010 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1023324621 NPPES
Idaho MEDICAID 002547300

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