Hidden Creek Dental
LBN: Hidden Creek Dental
Hidden Creek Dental is an health care organization with primary practice located at 580 W Parkcenter Blvd Suite B, Boise ID 83706-3659. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty.
Hidden Creek Dental can be contacted via phone (208) 336-8478, or through Clark, Harvey James via phone (208) 336-8478.
Contact Information
Primary practice address
580 W Parkcenter Blvd Suite B
Boise ID 83706-3659
Phone: (208) 336-8478
Fax:
Website:
Authorized official contact:
Name: Clark, Harvey James Doctor of Dental Surgery (DDS)
Phone: (208) 336-8478
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D-1699 | Idaho |
Profile Details
| NPI number | 1225578768 |
|---|---|
| LBN Legal business name | Hidden Creek Dental |
| DBA Doing business as | |
| Authorized official | Clark, Harvey James Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 2nd, 2017 |
| Last updated | Mar 2nd, 2017 - about 9 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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