Csc Dental Pc

LBN: Csc Dental Pc
Csc Dental Pc is an health care organization with primary practice located at 1550 E Heritage Park St Ste 150 , Meridian ID 83646-6440. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Csc Dental Pc can be contacted via phone (208) 288-2719, or through Charles, Colton via phone (541) 908-1333.

Contact Information

Primary practice address
1550 E Heritage Park St Ste 150 Meridian ID 83646-6440
Phone: (208) 288-2719
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Charles, Colton Doctor of Dental Medicine (DMD)
Phone: (541) 908-1333

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1447921747
LBN Legal business name Csc Dental Pc
DBA Doing business as
Authorized official Charles, Colton Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 26th, 2021
Last updated Sep 26th, 2021 - about 5 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 1447921747 NPPES
Idaho MEDICAID 33495

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