Kelly E. Carlen, Dds Pllc

LBN: Kelly E. Carlen, Dds Pllc
Kelly E. Carlen, Dds Pllc is an health care organization with primary practice located at 2811 12Th Ave Rd , Nampa ID 83686-8482. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Kelly E. Carlen, Dds Pllc can be contacted via phone (208) 461-1060, or through Carlen, Kelly Edward via phone (208) 461-1060.

Contact Information

Primary practice address
2811 12Th Ave Rd Nampa ID 83686-8482
Phone: (208) 461-1060
Fax: (208) 465-6303
Website:
Map and Directions
Authorized official contact:
Name: Carlen, Kelly Edward Doctor of Dental Surgery (DDS)
Phone: (208) 461-1060

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X D3271 Idaho

Profile Details

NPI number 1689849598
LBN Legal business name Kelly E. Carlen, Dds Pllc
DBA Doing business as
Authorized official Carlen, Kelly Edward Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 23rd, 2008
Last updated Apr 23rd, 2008 - about 18 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 1689849598 NPPES
Idaho MEDICAID 8061407

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