Snake River Dental Inc.

LBN: Snake River Dental Inc.
Snake River Dental Inc. is an health care organization with primary practice located at 925 2Nd Ave N , Payette ID 83661-2511. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Snake River Dental Inc. can be contacted via phone (208) 642-4782, or through Moore, James H. via phone (208) 642-4782.

Contact Information

Primary practice address
925 2Nd Ave N Payette ID 83661-2511
Phone: (208) 642-4782
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Moore, James H. Doctor of Dental Surgery (DDS)
Phone: (208) 642-4782

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D3950 Idaho

Profile Details

NPI number 1932360674
LBN Legal business name Snake River Dental Inc.
DBA Doing business as
Authorized official Moore, James H. Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 24th, 2008
Last updated Jun 24th, 2008 - about 18 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 1932360674 NPPES
Idaho MEDICAID 807498800

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