Center For Dental Excellence Llc

LBN: Center For Dental Excellence Llc
Center For Dental Excellence Llc is an health care organization with primary practice located at 1525 Baldy Ave , Pocatello ID 83201-7117. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Center For Dental Excellence Llc can be contacted via phone (208) 238-0011, or through Hodge, Jeremy L via phone (208) 238-0011.

Contact Information

Primary practice address
1525 Baldy Ave Pocatello ID 83201-7117
Phone: (208) 238-0011
Fax: (208) 904-3843
Website:
Map and Directions
Authorized official contact:
Name: Hodge, Jeremy L Doctor of Dental Medicine (DMD)
Phone: (208) 238-0011

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X D3808 Idaho

Profile Details

NPI number 1376852939
LBN Legal business name Center For Dental Excellence Llc
DBA Doing business as
Authorized official Hodge, Jeremy L Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 30th, 2010
Last updated Nov 18th, 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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