Lake Harbor Dental Pllc

LBN: Lake Harbor Dental Pllc
Lake Harbor Dental Pllc is an health care organization with primary practice located at 5355 W State St , Boise ID 83703-3333. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Lake Harbor Dental Pllc can be contacted via phone (208) 853-4687, or through Ballou, Eric via phone (208) 853-4687.

Contact Information

Primary practice address
5355 W State St Boise ID 83703-3333
Phone: (208) 853-4687
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ballou, Eric
Phone: (208) 853-4687

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1427669720
LBN Legal business name Lake Harbor Dental Pllc
DBA Doing business as
Authorized official Ballou, Eric
Entity Organization
Organization subpart 1 No
Enumeration date Aug 11th, 2020
Last updated Aug 11th, 2020 - about 6 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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