Parkwest Dental Care

LBN: Parkwest Dental Care
Parkwest Dental Care is an health care organization with primary practice located at 1088 N Skyline Dr , Idaho Falls ID 83402-1726. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Parkwest Dental Care can be contacted via phone (208) 524-0870, or through Jacobson, Brett D. via phone (208) 524-0870.

Contact Information

Primary practice address
1088 N Skyline Dr Idaho Falls ID 83402-1726
Phone: (208) 524-0870
Fax: (208) 524-0873
Website:
Map and Directions
Authorized official contact:
Name: Jacobson, Brett D. Doctor of Dental Surgery (DDS)
Phone: (208) 524-0870

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X D-3203 Idaho

Profile Details

NPI number 1861666745
LBN Legal business name Parkwest Dental Care
DBA Doing business as
Authorized official Jacobson, Brett D. Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 22nd, 2008
Last updated Aug 7th, 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 1861666745 NPPES
Idaho MEDICAID 003552200

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