River Valley Dental Care

LBN: Bryce D Hanson, Dmd Pa
River Valley Dental Care is an health care organization with primary practice located at 371 W Fir St , Shelley ID 83274-1456. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Bryce D Hanson, Dmd Pa can be contacted via phone (208) 357-7611, or through Hanson, Bryce D via phone (208) 357-7611.

Contact Information

Primary practice address
371 W Fir St Shelley ID 83274-1456
Phone: (208) 357-7611
Fax: (208) 357-1805
Website:
Map and Directions
Authorized official contact:
Name: Hanson, Bryce D Doctor of Dental Medicine (DMD)
Phone: (208) 357-7611

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X D-3275 Idaho

Profile Details

NPI number 1851798045
LBN Legal business name Bryce D Hanson, Dmd Pa
DBA Doing business as River Valley Dental Care
Authorized official Hanson, Bryce D Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 3rd, 2014
Last updated Dec 3rd, 2014 - about 12 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 1851798045 NPPES
Idaho MEDICAID 0025-57200
Idaho MEDICAID 119-477-4109
Idaho MEDICAID 8050-31700

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