Blackfoot Family Dentistry

LBN: Stone Ridge Dental P.C.
Blackfoot Family Dentistry is an health care organization with primary practice located at 380 W Judicial St , Blackfoot ID 83221-2122. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Stone Ridge Dental P.C. can be contacted via phone (208) 785-6833, or through Carpenter, Curtis via phone (208) 357-7900.

Contact Information

Primary practice address
380 W Judicial St Blackfoot ID 83221-2122
Fax:
Website:
Authorized official contact:
Name: Carpenter, Curtis Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X D-4169 Idaho

Profile Details

NPI number 1609113455
LBN Legal business name Stone Ridge Dental P.C.
DBA Doing business as Blackfoot Family Dentistry
Authorized official Carpenter, Curtis Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 14th, 2013
Last updated Jan 14th, 2013 - about 13 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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