Mountain River Dental

LBN: Mountain River Dental
Mountain River Dental is an health care organization with primary practice located at 404 Lupine Drive , Victor ID 83455-0487. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Mountain River Dental can be contacted via phone (208) 787-8100, or through George, Richard H via phone (208) 787-8100.

Contact Information

Primary practice address
404 Lupine Drive Victor ID 83455-0487
Phone: (208) 787-8100
Fax: (208) 787-8101
Website:
Map and Directions
Authorized official contact:
Name: George, Richard H Doctor of Dental Medicine (DMD)
Phone: (208) 787-8100

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1912136433
LBN Legal business name Mountain River Dental
DBA Doing business as
Authorized official George, Richard H Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 6th, 2009
Last updated Jul 6th, 2009 - about 17 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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