Blue Creek Endodontics

LBN: Blue Creek Endodontics
Blue Creek Endodontics is an health care organization with primary practice located at 3240 E Louise Dr Suite 110, Meridian ID 83642-5107. The organization recently has only one registered license in Dental Providers / Endodontics, which is considered as the primary health care specialty. Blue Creek Endodontics can be contacted via phone (208) 578-4700, or through Eaton, James Anthony via phone (901) 267-2294.

Contact Information

Primary practice address
3240 E Louise Dr Suite 110 Meridian ID 83642-5107
Fax: (208) 578-4704
Website:
Authorized official contact:
Name: Eaton, James Anthony Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X D-4611-EN Idaho

Profile Details

NPI number 1417353830
LBN Legal business name Blue Creek Endodontics
DBA Doing business as
Authorized official Eaton, James Anthony Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 12th, 2014
Last updated Nov 12th, 2014 - about 10 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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