Boise Toothtown Dentistry For Kids Pllc

LBN: Boise Toothtown Dentistry For Kids Pllc
Boise Toothtown Dentistry For Kids Pllc is an health care organization with primary practice located at 13014 W Persimmon Ln , Boise ID 83713-1986. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is the primary health care specialty. Boise Toothtown Dentistry For Kids Pllc can be contacted via phone (208) 377-2072, or through Stoddard, Dennis Garth via phone (208) 453-6188.

Contact Information

Primary practice address
13014 W Persimmon Ln Boise ID 83713-1986
Phone: (208) 377-2072
Fax: (208) 376-7580
Website:
Map and Directions
Authorized official contact:
Name: Stoddard, Dennis Garth Doctor of Dental Medicine (DMD)
Phone: (208) 453-6188

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D4031 Idaho
Dental Providers / Pediatric Dentistry 1223P0221X D4186PD Idaho

Profile Details

NPI number 1780037705
LBN Legal business name Boise Toothtown Dentistry For Kids Pllc
DBA Doing business as
Authorized official Stoddard, Dennis Garth Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 14th, 2016
Last updated Jul 14th, 2016 - about 9 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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