Choice Dental

LBN: Choice Dental
Choice Dental is an health care organization with primary practice located at 1991 W Broadway St , Idaho Falls ID 83402-3041. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Dental Hygienist. Dental Providers / Dentist is the primary health care specialty. Choice Dental can be contacted via phone (208) 999-4746, or through Kelly, Trent M via phone (208) 999-4746.

Contact Information

Primary practice address
1991 W Broadway St Idaho Falls ID 83402-3041
Phone: (208) 999-4746
Fax: (208) 357-4911
Website:
Map and Directions
Authorized official contact:
Name: Kelly, Trent M Doctor of Dental Surgery (DDS)
Phone: (208) 999-4746

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X
Dental Providers / Dental Hygienist 124Q00000X

Profile Details

NPI number 1255906277
LBN Legal business name Choice Dental
DBA Doing business as
Authorized official Kelly, Trent M Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date May 21st, 2021
Last updated May 21st, 2021 - 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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