Victory Point Dental

LBN: Victory Point Dental
Victory Point Dental is an health care organization with primary practice located at 3175 S Meridian Rd Suite 150, Meridian ID 83642-7088. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Victory Point Dental can be contacted via phone (208) 888-5470, or through Lewis, David M via phone (208) 888-5470.

Contact Information

Primary practice address
3175 S Meridian Rd Suite 150 Meridian ID 83642-7088
Phone: (208) 888-5470
Fax: (208) 288-0279
Website:
Map and Directions
Authorized official contact:
Name: Lewis, David M Doctor of Dental Surgery (DDS)
Phone: (208) 888-5470

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D-3810 Idaho

Profile Details

NPI number 1578722765
LBN Legal business name Victory Point Dental
DBA Doing business as
Authorized official Lewis, David M Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 3rd, 2008
Last updated Jun 3rd, 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 1578722765 NPPES
Idaho Other 01622474 UNITED CONCORDIA
Idaho MEDICAID 806916200 UNITED CONCORDIA

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