Idaho Pediatric Dentistry

LBN: Idaho Pediatric Dentistry
Idaho Pediatric Dentistry is an health care organization with primary practice located at 4401 E Flamingo Ave , Nampa ID 83687-3113. The organization recently has only one registered license in Hospitals / Special Hospital, which is considered as the primary health care specialty. Idaho Pediatric Dentistry can be contacted via phone (208) 461-5459, or through Nelson, Kathi A via phone (208) 461-5459.

Contact Information

Primary practice address
4401 E Flamingo Ave Nampa ID 83687-3113
Phone: (208) 461-5459
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Nelson, Kathi A
Phone: (208) 461-5459

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Special Hospital 284300000X D3936PD Idaho

Profile Details

NPI number 1659530103
LBN Legal business name Idaho Pediatric Dentistry
DBA Doing business as
Authorized official Nelson, Kathi A
Entity Organization
Organization subpart 1 No
Enumeration date Jun 9th, 2008
Last updated Jun 9th, 2008 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1659530103 NPPES
Idaho MEDICAID 805011445

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