Boise Orthodontics P.A.
LBN: Boise Orthodontics P.A.
Boise Orthodontics P.A. is an health care organization with primary practice located at 4725 N Cloverdale Rd Suite 101, Boise ID 83713-4911. The organization recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as the primary health care specialty.
Boise Orthodontics P.A. can be contacted via phone (208) 323-4458, or through Smith, Glen Allen via phone (208) 323-4458.
Contact Information
Primary practice address
4725 N Cloverdale Rd Suite 101
Boise ID 83713-4911
Phone: (208) 323-4458
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | D-3036-OR | Idaho |
Profile Details
NPI number | 1770754186 |
---|---|
LBN Legal business name | Boise Orthodontics P.A. |
DBA Doing business as | |
Authorized official | Smith, Glen Allen DDS MS |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Mar 13th, 2008 |
Last updated | Mar 13th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1770754186 | NPPES |
Idaho | Other | 6L271 | BLUE CROSS ID |
Idaho | Other | 734506 | BLUE CROSS ID |
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