Channing Way Dental Care

LBN: Channing Way Dental Care
Channing Way Dental Care is an health care organization with primary practice located at 2205 Channing Way Suite B, Idaho Falls ID 83404-8016. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Channing Way Dental Care can be contacted via phone (208) 529-3660, or through Peterson, Glade L. via phone (208) 529-3660.

Contact Information

Primary practice address
2205 Channing Way Suite B Idaho Falls ID 83404-8016
Phone: (208) 529-3660
Fax: (208) 529-3666
Website:
Map and Directions
Authorized official contact:
Name: Peterson, Glade L. Doctor of Dental Medicine (DMD)
Phone: (208) 529-3660

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1376555292
LBN Legal business name Channing Way Dental Care
DBA Doing business as
Authorized official Peterson, Glade L. Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 12th, 2006
Last updated Mar 25th, 2008 - about 16 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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