Idaho Falls Dental Group

LBN: Idaho Falls Dental Group
Idaho Falls Dental Group is an health care organization with primary practice located at 2300 E 17Th St , Idaho Falls ID 83404-6504. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Idaho Falls Dental Group can be contacted via phone (208) 525-8383, or through Larsen, Tracy via phone (208) 525-8383.

Contact Information

Primary practice address
2300 E 17Th St Idaho Falls ID 83404-6504
Phone: (208) 525-8383
Fax: (208) 523-6419
Website:
Map and Directions
Authorized official contact:
Name: Larsen, Tracy
Phone: (208) 525-8383

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1497803696
LBN Legal business name Idaho Falls Dental Group
DBA Doing business as
Authorized official Larsen, Tracy
Entity Organization
Organization subpart 1 No
Enumeration date Jan 7th, 2007
Last updated Aug 22nd, 2020 - about 6 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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