Signature Smiles

LBN: Broadway Smiles
Signature Smiles is an health care organization with primary practice located at 505 1St St Ste B , Idaho Falls ID 83401-3929. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Broadway Smiles can be contacted via phone (208) 529-1903, or through Penuelas, Nataly via phone (208) 680-0186.

Contact Information

Primary practice address
505 1St St Ste B Idaho Falls ID 83401-3929
Phone: (208) 529-1903
Fax: (208) 529-1925
Website:
Map and Directions
Authorized official contact:
Name: Penuelas, Nataly
Phone: (208) 680-0186

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X D-4109 Idaho

Profile Details

NPI number 1275999872
LBN Legal business name Broadway Smiles
DBA Doing business as Signature Smiles
Authorized official Penuelas, Nataly
Entity Organization
Organization subpart 1 No
Enumeration date Jan 12th, 2016
Last updated Jan 12th, 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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