Modern Smiles Pocatello Pc

LBN: Modern Smiles Pocatello Pc
Modern Smiles Pocatello Pc is an health care organization with primary practice located at 1800 Flandro Dr Ste 340 , Pocatello ID 83202-4944. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Modern Smiles Pocatello Pc can be contacted via phone (208) 238-1900, or through Frank, Stephanie via phone (509) 570-6879.

Contact Information

Primary practice address
1800 Flandro Dr Ste 340 Pocatello ID 83202-4944
Phone: (208) 238-1900
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Frank, Stephanie
Phone: (509) 570-6879

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1609592435
LBN Legal business name Modern Smiles Pocatello Pc
DBA Doing business as
Authorized official Frank, Stephanie
Entity Organization
Organization subpart 1 No
Enumeration date Oct 13th, 2022
Last updated Feb 10th, 2023 - about 3 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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