Idylwood Dental Llc

LBN: Idylwood Dental Llc
Idylwood Dental Llc is an health care organization with primary practice located at 4392 Liberty Road , Salem OR 97302-6171. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Idylwood Dental Llc can be contacted via phone (503) 315-2500, or through Merzenich, Edgar via phone (503) 315-2500.

Contact Information

Primary practice address
4392 Liberty Road Salem OR 97302-6171
Phone: (503) 315-2500
Fax: (503) 315-7227
Website:
Map and Directions
Authorized official contact:
Name: Merzenich, Edgar Doctor of Dental Medicine (DMD)
Phone: (503) 315-2500

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 4063 Oregon

Profile Details

NPI number 1437643616
LBN Legal business name Idylwood Dental Llc
DBA Doing business as
Authorized official Merzenich, Edgar Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2018
Last updated Jun 20th, 2018 - about 8 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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