Crystal Canyon Family Dental

LBN: Keven Freeman Dmd Pllc
Crystal Canyon Family Dental is an health care organization with primary practice located at 616 S 10Th Ave , Caldwell ID 83605-4112. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Keven Freeman Dmd Pllc can be contacted via phone (208) 454-0473, or through Freeman, Keven via phone (801) 520-6325.

Contact Information

Primary practice address
616 S 10Th Ave Caldwell ID 83605-4112
Phone: (208) 454-0473
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Freeman, Keven Doctor of Dental Medicine (DMD)
Phone: (801) 520-6325

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X D-4834 Idaho

Profile Details

NPI number 1356879720
LBN Legal business name Keven Freeman Dmd Pllc
DBA Doing business as Crystal Canyon Family Dental
Authorized official Freeman, Keven Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date May 30th, 2017
Last updated May 30th, 2017 - about 9 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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