Club 32 Dental

LBN: Club 32 Dental
Club 32 Dental is an health care organization with primary practice located at 624 3Rd St S , Nampa ID 83651-3840. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Club 32 Dental can be contacted via phone (208) 466-2456, or through Keller, Kim Benson via phone (208) 505-8586.

Contact Information

Primary practice address
624 3Rd St S Nampa ID 83651-3840
Phone: (208) 466-2456
Fax: (208) 318-0227
Website:
Map and Directions
Authorized official contact:
Name: Keller, Kim Benson Doctor of Dental Surgery (DDS)
Phone: (208) 505-8586

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1720698608
LBN Legal business name Club 32 Dental
DBA Doing business as
Authorized official Keller, Kim Benson Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 5th, 2020
Last updated Feb 24th, 2022 - about 4 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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