Dan Streeby, D.D.S.

LBN: Dan Streeby, D.D.S.
Dan Streeby, D.D.S. is an health care organization with primary practice located at 450 W State St Ste 180 , Eagle ID 83616-6974. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Dan Streeby, D.D.S. can be contacted via phone (208) 939-0600, or through Streeby, Dan Robert via phone (208) 939-0600.

Contact Information

Primary practice address
450 W State St Ste 180 Eagle ID 83616-6974
Phone: (208) 939-0600
Fax: (208) 939-0774
Website:
Map and Directions
Authorized official contact:
Name: Streeby, Dan Robert Doctor of Dental Surgery (DDS)
Phone: (208) 939-0600

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X

Profile Details

NPI number 1861015653
LBN Legal business name Dan Streeby, D.D.S.
DBA Doing business as
Authorized official Streeby, Dan Robert Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date May 27th, 2020
Last updated May 27th, 2020 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1861015653 NPPES
Idaho MEDICAID 28911

Popular Providers