Clock Tower Orthodontics, Pc

LBN: Clock Tower Orthodontics, Pc
Clock Tower Orthodontics, Pc is an health care organization with primary practice located at 4203 Clock Tower Ave , Caldwell ID 83607-5236. The organization recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as the primary health care specialty. Clock Tower Orthodontics, Pc can be contacted via phone (208) 454-4112, or through Short, Loren E via phone (208) 454-4112.

Contact Information

Primary practice address
4203 Clock Tower Ave Caldwell ID 83607-5236
Phone: (208) 454-4112
Fax: (208) 454-5155
Website:
Map and Directions
Authorized official contact:
Name: Short, Loren E Doctor of Dental Medicine (DMD)
Phone: (208) 454-4112

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X D-4121-OR Idaho

Profile Details

NPI number 1942471966
LBN Legal business name Clock Tower Orthodontics, Pc
DBA Doing business as
Authorized official Short, Loren E Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 18th, 2008
Last updated Mar 18th, 2008 - about 17 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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