Advantage Dental Center

LBN: Advantage Dental Center
Advantage Dental Center is an health care organization with primary practice located at 100 W Overland Rd , Meridian ID 83642-3051. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Advantage Dental Center can be contacted via phone (208) 884-0888, or through Richins, Lester Albert via phone (208) 884-0888.

Contact Information

Primary practice address
100 W Overland Rd Meridian ID 83642-3051
Phone: (208) 884-0888
Fax: (208) 895-8533
Website:
Map and Directions
Authorized official contact:
Name: Richins, Lester Albert Doctor of Dental Medicine (DMD)
Phone: (208) 884-0888

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D3186 Idaho

Profile Details

NPI number 1952560278
LBN Legal business name Advantage Dental Center
DBA Doing business as
Authorized official Richins, Lester Albert Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 2nd, 2008
Last updated Jun 2nd, 2008 - about 17 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 1952560278 NPPES
Idaho MEDICAID 001606900
Idaho Other 6F126

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