Boise Children'S Dentistry Pllc

LBN: Boise Children'S Dentistry Pllc
Boise Children'S Dentistry Pllc is an health care organization with primary practice located at 136 E Mallard Dr , Boise ID 83706-3975. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Pediatric Dentistry, Ambulatory Health Care Facilities / Dental. Dental Providers / Pediatric Dentistry is the primary health care specialty. Boise Children'S Dentistry Pllc can be contacted via phone (208) 500-5437, or through Lyall, Alexis Phillips via phone (208) 500-5437.

Contact Information

Primary practice address
136 E Mallard Dr Boise ID 83706-3975
Phone: (208) 500-5437
Fax: (208) 908-6178
Website:
Map and Directions
Authorized official contact:
Name: Lyall, Alexis Phillips Doctor of Dental Medicine (DMD)
Phone: (208) 500-5437

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1700503133
LBN Legal business name Boise Children'S Dentistry Pllc
DBA Doing business as
Authorized official Lyall, Alexis Phillips Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 26th, 2022
Last updated Oct 26th, 2022 - about 3 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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