<Unavail>

LBN: Gray Team Llc
<Unavail> is an health care organization with primary practice located at 813 N Stilson Rd Ste:B, Boise ID 83703-5119. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Gray Team Llc can be contacted via phone (208) 342-4644, or through Gray, Tyson via phone (208) 342-4644.

Contact Information

Primary practice address
813 N Stilson Rd Ste:B Boise ID 83703-5119
Phone: (208) 342-4644
Fax: (208) 367-0283
Website:
Map and Directions
Authorized official contact:
Name: Gray, Tyson Doctor of Dental Medicine (DMD)
Phone: (208) 342-4644

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1922489673
LBN Legal business name Gray Team Llc
DBA Doing business as <Unavail>
Authorized official Gray, Tyson Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 17th, 2015
Last updated Jun 30th, 2015 - about 11 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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