Northwest Dental Group

LBN: Northwest Dental Group
Northwest Dental Group is an health care organization with primary practice located at 8300 W Northview St , Boise ID 83704-7132. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Ambulatory Health Care Facilities / Dental. Dental Providers / General Practice is the primary health care specialty. Northwest Dental Group can be contacted via phone (208) 377-8078, or through Cook, Don R via phone (208) 377-8078.

Contact Information

Primary practice address
8300 W Northview St Boise ID 83704-7132
Phone: (208) 377-8078
Fax: (208) 377-3689
Website:
Map and Directions
Authorized official contact:
Name: Cook, Don R Doctor of Dental Surgery (DDS)
Phone: (208) 377-8078

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1407483027
LBN Legal business name Northwest Dental Group
DBA Doing business as
Authorized official Cook, Don R Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 24th, 2020
Last updated Oct 24th, 2022 - about 4 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 1407483027 NPPES
Idaho Other 820526879 TID

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