Burley Family Dental Pllc

LBN: Burley Family Dental Pllc
Burley Family Dental Pllc is an health care organization with primary practice located at 2200 Parke Ave Ste 2 , Burley ID 83318. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Burley Family Dental Pllc can be contacted via phone (208) 878-6684, or through Hansen, Elaine Annette via phone (208) 878-6684.

Contact Information

Primary practice address
2200 Parke Ave Ste 2 Burley ID 83318
Phone: (208) 878-6684
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hansen, Elaine Annette
Phone: (208) 878-6684

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1841760493
LBN Legal business name Burley Family Dental Pllc
DBA Doing business as
Authorized official Hansen, Elaine Annette
Entity Organization
Organization subpart 1 No
Enumeration date Nov 27th, 2018
Last updated Nov 27th, 2018 - about 8 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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