Emerald Dental Associates Pc

LBN: Boise Bench Dentistry
Emerald Dental Associates Pc is an health care organization with primary practice located at 7235 W Emerald Street Suite B, Boise ID 83704-8600. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Boise Bench Dentistry can be contacted via phone (208) 327-0337, or through Shelton Wagers, Jill via phone (208) 327-0337.

Contact Information

Primary practice address
7235 W Emerald Street Suite B Boise ID 83704-8600
Fax: (208) 376-0468
Website:
Authorized official contact:
Name: Shelton Wagers, Jill Doctor of Dental Medicine (DMD)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1770770026
LBN Legal business name Boise Bench Dentistry
DBA Doing business as Emerald Dental Associates Pc
Authorized official Shelton Wagers, Jill Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 1st, 2007
Last updated Jun 2nd, 2021 - about 4 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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