Meridian Dental, Pllc

LBN: Meridian Dental, Pllc
Meridian Dental, Pllc is an health care organization with primary practice located at 780 W Cherry Ln , Meridian ID 83642-1617. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Meridian Dental, Pllc can be contacted via phone (208) 888-4711, or through Kousky, Allyson via phone (208) 888-4711.

Contact Information

Primary practice address
780 W Cherry Ln Meridian ID 83642-1617
Phone: (208) 888-4711
Fax: (208) 888-0308
Website:
Map and Directions
Authorized official contact:
Name: Kousky, Allyson
Phone: (208) 888-4711

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1295741957
LBN Legal business name Meridian Dental, Pllc
DBA Doing business as
Authorized official Kousky, Allyson
Entity Organization
Organization subpart 1 No
Enumeration date Aug 1st, 2006
Last updated Aug 22nd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1295741957 NPPES
Idaho Other 134932 TRI-CARE

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