Patrick L Waite Dds, Pc

LBN: Patrick L Waite Dds, Pc
Patrick L Waite Dds, Pc is an health care organization with primary practice located at 4105 Clock Tower Ave , Caldwell ID 83607-5006. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Patrick L Waite Dds, Pc can be contacted via phone (208) 455-0022, or through Waite, Patrick L via phone (208) 455-0022.

Contact Information

Primary practice address
4105 Clock Tower Ave Caldwell ID 83607-5006
Phone: (208) 455-0022
Fax: (208) 455-8535
Website:
Map and Directions
Authorized official contact:
Name: Waite, Patrick L Doctor of Dental Surgery (DDS)
Phone: (208) 455-0022

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D3975 Idaho

Profile Details

NPI number 1558806315
LBN Legal business name Patrick L Waite Dds, Pc
DBA Doing business as
Authorized official Waite, Patrick L Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 3rd, 2017
Last updated Jan 3rd, 2017 - about 9 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 1558806315 NPPES
Idaho MEDICAID 9202298

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