Jake R Richards Dds, Pllc

LBN: Oak Mountain Dental Pllc
Jake R Richards Dds, Pllc is an health care organization with primary practice located at 135 Warren Ave , Pocatello ID 83201-4621. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Oak Mountain Dental Pllc can be contacted via phone (208) 237-6453, or through Richards, Jake R via phone (208) 237-6453.

Contact Information

Primary practice address
135 Warren Ave Pocatello ID 83201-4621
Phone: (208) 237-6453
Fax: (208) 233-4227
Website:
Map and Directions
Authorized official contact:
Name: Richards, Jake R Doctor of Dental Surgery (DDS)
Phone: (208) 237-6453

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D-4484 Idaho

Profile Details

NPI number 1861837478
LBN Legal business name Oak Mountain Dental Pllc
DBA Doing business as Jake R Richards Dds, Pllc
Authorized official Richards, Jake R Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date May 9th, 2013
Last updated Sep 24th, 2021 - about 5 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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