Kemp Dental Llc

LBN: Kemp Dental Llc
Kemp Dental Llc is an health care organization with primary practice located at 1541 E Clark St , Pocatello ID 83201-4100. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Kemp Dental Llc can be contacted via phone (208) 232-6400, or through Hedges, Sid Ellis via phone (208) 232-6400.

Contact Information

Primary practice address
1541 E Clark St Pocatello ID 83201-4100
Phone: (208) 232-6400
Fax: (208) 232-6050
Website:
Map and Directions
Authorized official contact:
Name: Hedges, Sid Ellis DGMA
Phone: (208) 232-6400

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D-1783 Idaho

Profile Details

NPI number 1255503777
LBN Legal business name Kemp Dental Llc
DBA Doing business as
Authorized official Hedges, Sid Ellis DGMA
Entity Organization
Organization subpart 1 No
Enumeration date Mar 25th, 2008
Last updated Mar 25th, 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 1255503777 NPPES
Idaho MEDICAID 0025307

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