Table Rock Oral Surgery And Dental Implants

LBN: Table Rock Oral Surgery Pllc
Table Rock Oral Surgery And Dental Implants is an health care organization with primary practice located at 403 S 11Th St Ste 320 , Boise ID 83702-6968. The organization recently has only one registered license in Ambulatory Health Care Facilities / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Table Rock Oral Surgery Pllc can be contacted via phone (208) 375-0191, or through Obrien, Timothy via phone (208) 412-0637.

Contact Information

Primary practice address
403 S 11Th St Ste 320 Boise ID 83702-6968
Phone: (208) 375-0191
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Obrien, Timothy DDS, MD
Phone: (208) 412-0637

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Oral and Maxillofacial Surgery 261QS0112X

Profile Details

NPI number 1487238689
LBN Legal business name Table Rock Oral Surgery Pllc
DBA Doing business as Table Rock Oral Surgery And Dental Implants
Authorized official Obrien, Timothy DDS, MD
Entity Organization
Organization subpart 1 No
Enumeration date May 12th, 2021
Last updated Apr 10th, 2024 - about 2 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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