Portneuf Valley Dental

LBN: Portneuf Valley Dental
Portneuf Valley Dental is an health care organization with primary practice located at 1246 Yellowstone Ave , Pocatello ID 83201-4374. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Portneuf Valley Dental can be contacted via phone (208) 238-0125, or through Bird, Jayson Anders via phone (208) 680-5144.

Contact Information

Primary practice address
1246 Yellowstone Ave Pocatello ID 83201-4374
Phone: (208) 238-0125
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bird, Jayson Anders Doctor of Dental Surgery (DDS)
Phone: (208) 680-5144

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1770127565
LBN Legal business name Portneuf Valley Dental
DBA Doing business as
Authorized official Bird, Jayson Anders Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 5th, 2019
Last updated Nov 5th, 2019 - about 7 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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