Pocatello Dental Excellence

LBN: Pocatello Dental Excellence
Pocatello Dental Excellence is an health care organization with primary practice located at 1525 Baldy Ave , Pocatello ID 83201-7117. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Pocatello Dental Excellence can be contacted via phone (208) 238-0011, or through Frost, Kyle via phone (208) 521-3449.

Contact Information

Primary practice address
1525 Baldy Ave Pocatello ID 83201-7117
Phone: (208) 238-0011
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Frost, Kyle Doctor of Dental Surgery (DDS)
Phone: (208) 521-3449

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1366134397
LBN Legal business name Pocatello Dental Excellence
DBA Doing business as
Authorized official Frost, Kyle Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date May 26th, 2023
Last updated May 26th, 2023 - about 3 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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