Sage Dental

LBN: Kyle James Siemen, D.M.D., P.A.
Sage Dental is an health care organization with primary practice located at 333 W Cedar St , Pocatello ID 83201-5045. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Suppliers / Customized Equipment. Dental Providers / Dentist is the primary health care specialty. Kyle James Siemen, D.M.D., P.A. can be contacted via phone (208) 233-6912, or through Siemen, Kyle James via phone (208) 233-6912.

Contact Information

Primary practice address
333 W Cedar St Pocatello ID 83201-5045
Phone: (208) 233-6912
Fax: (208) 233-6921
Website:
Map and Directions
Authorized official contact:
Name: Siemen, Kyle James Doctor of Dental Medicine (DMD)
Phone: (208) 233-6912

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D3403 Idaho
Suppliers / Customized Equipment 332BC3200X

Profile Details

NPI number 1285044529
LBN Legal business name Kyle James Siemen, D.M.D., P.A.
DBA Doing business as Sage Dental
Authorized official Siemen, Kyle James Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date May 7th, 2014
Last updated May 7th, 2014 - about 12 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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