Ideal Dental

LBN: Ideal Dental
Ideal Dental is an health care organization with primary practice located at 329 E Logan St , Caldwell ID 83605-4863. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Ideal Dental can be contacted via phone (208) 459-3388, or through Boyer, Travis via phone (208) 459-3388.

Contact Information

Primary practice address
329 E Logan St Caldwell ID 83605-4863
Phone: (208) 459-3388
Fax: (208) 453-9295
Website:
Map and Directions
Authorized official contact:
Name: Boyer, Travis
Phone: (208) 459-3388

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D3896 Idaho

Profile Details

NPI number 1073891461
LBN Legal business name Ideal Dental
DBA Doing business as
Authorized official Boyer, Travis
Entity Organization
Organization subpart 1 No
Enumeration date Aug 2nd, 2011
Last updated Aug 2nd, 2011 - about 15 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1073891461 NPPES
Idaho Other 1194808238 NPI
Idaho Other 1992715304 NPI

Popular Providers