Coeur D' Alene Oral Surgery
LBN: Coeur D' Alene Oral Surgery
Coeur D' Alene Oral Surgery is an health care organization with primary practice located at 1027 E Sherman Ave , Coeur D Alene ID 83814-4152. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty.
Coeur D' Alene Oral Surgery can be contacted via phone (208) 667-0655, or through Walsh, Thomas G via phone (208) 667-0655.
Contact Information
Primary practice address
1027 E Sherman Ave
Coeur D Alene ID 83814-4152
Phone: (208) 667-0655
Fax: (208) 667-5745
Website:
Authorized official contact:
Name: Walsh, Thomas G Doctor of Dental Surgery (DDS)
Phone: (208) 667-0655
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | D-1578-OS | Idaho |
Profile Details
NPI number | 1023398716 |
---|---|
LBN Legal business name | Coeur D' Alene Oral Surgery |
DBA Doing business as | |
Authorized official | Walsh, Thomas G Doctor of Dental Surgery (DDS) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Aug 25th, 2011 |
Last updated | Aug 25th, 2011 - about 13 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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