Sw Grant Pc

LBN: Sw Grant Pc
Sw Grant Pc is an health care organization with primary practice located at 2275 S Eagle Rd Ste 140, Meridian ID 83642-5079. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Sw Grant Pc can be contacted via phone (208) 938-3190, or through Grant, Scott William via phone (208) 938-3190.

Contact Information

Primary practice address
2275 S Eagle Rd Ste 140 Meridian ID 83642-5079
Phone: (208) 938-3190
Fax: (208) 888-1571
Website:
Map and Directions
Authorized official contact:
Name: Grant, Scott William Doctor of Dental Medicine (DMD)
Phone: (208) 938-3190

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D-3981 Idaho

Profile Details

NPI number 1881869055
LBN Legal business name Sw Grant Pc
DBA Doing business as
Authorized official Grant, Scott William Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 28th, 2008
Last updated Sep 16th, 2014 - about 12 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 1881869055 NPPES
Idaho MEDICAID 807480600
Idaho Other 6P052

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