Dentistry One Of Idaho Pc

LBN: Dentistry One Of Idaho Pc
Dentistry One Of Idaho Pc is an health care organization with primary practice located at 800 W Main St Ste 1460 , Boise ID 83702-5983. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry. Dental Providers / General Practice is the primary health care specialty. Dentistry One Of Idaho Pc can be contacted via phone (877) 712-7875, or through Herman, Brant via phone (877) 712-7875.

Contact Information

Primary practice address
800 W Main St Ste 1460 Boise ID 83702-5983
Phone: (877) 712-7875
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Herman, Brant
Phone: (877) 712-7875

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X
Dental Providers / Pediatric Dentistry 1223P0221X

Profile Details

NPI number 1275314866
LBN Legal business name Dentistry One Of Idaho Pc
DBA Doing business as
Authorized official Herman, Brant
Entity Organization
Organization subpart 1 No
Enumeration date Oct 10th, 2023
Last updated Oct 10th, 2023 - about 3 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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