Ideal Image Dentistry & Spa

LBN: Leah Brady, Dds, Pc
Ideal Image Dentistry & Spa is an health care organization with primary practice located at 1008 E Main St , Mandan ND 58554-3762. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Leah Brady, Dds, Pc can be contacted via phone (701) 667-1933, or through Brady, Leah N via phone (701) 667-1933.

Contact Information

Primary practice address
1008 E Main St Mandan ND 58554-3762
Phone: (701) 667-1933
Fax: (701) 667-2115
Website:
Map and Directions
Authorized official contact:
Name: Brady, Leah N Doctor of Dental Surgery (DDS)
Phone: (701) 667-1933

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 2070 North Dakota

Profile Details

NPI number 1295010742
LBN Legal business name Leah Brady, Dds, Pc
DBA Doing business as Ideal Image Dentistry & Spa
Authorized official Brady, Leah N Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 17th, 2011
Last updated Oct 20th, 2011 - about 15 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 1295010742 NPPES
North Dakota MEDICAID 40018

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