Desert Valley Dentistry
LBN: Desert Valley Dentistry
Desert Valley Dentistry is an health care organization with primary practice located at 716 Yellowstone Ave , Pocatello ID 83201-4407. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty.
Desert Valley Dentistry can be contacted via phone (208) 478-1295, or through Bybee, Larry Walden via phone (208) 478-1295.
Contact Information
Primary practice address
716 Yellowstone Ave
Pocatello ID 83201-4407
Phone: (208) 478-1295
Fax: (208) 232-5490
Website:
Authorized official contact:
Name: Bybee, Larry Walden Doctor of Dental Surgery (DDS)
Phone: (208) 478-1295
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Dental | 261QD0000X | D1664 | Idaho |
Profile Details
| NPI number | 1083143739 |
|---|---|
| LBN Legal business name | Desert Valley Dentistry |
| DBA Doing business as | |
| Authorized official | Bybee, Larry Walden Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 7th, 2017 |
| Last updated | Jul 21st, 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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