Larsen Dental Care

LBN: Larsen Dental Care
Larsen Dental Care is an health care organization with primary practice located at 950 Hospital Way Suite B, Pocatello ID 83201-2789. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Larsen Dental Care can be contacted via phone (208) 233-7007, or through Mabey, Danielle via phone (208) 233-7007.

Contact Information

Primary practice address
950 Hospital Way Suite B Pocatello ID 83201-2789
Phone: (208) 233-7007
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mabey, Danielle
Phone: (208) 233-7007

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D1599 Idaho
Dental Providers / General Practice 1223G0001X D3894 Idaho

Profile Details

NPI number 1285806844
LBN Legal business name Larsen Dental Care
DBA Doing business as
Authorized official Mabey, Danielle
Entity Organization
Organization subpart 1 No
Enumeration date Mar 24th, 2008
Last updated Mar 24th, 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 1285806844 NPPES
Idaho MEDICAID 8072105

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