Dr Jeremy Wiggins

LBN: Dentistry '4' Children Pllc
Dr Jeremy Wiggins is an health care organization with primary practice located at 3326 4Th St Suite 4, Lewiston ID 83501-4455. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Dentistry '4' Children Pllc can be contacted via phone (208) 743-2505, or through Lester, Laurie via phone (208) 743-2505.

Contact Information

Primary practice address
3326 4Th St Suite 4 Lewiston ID 83501-4455
Phone: (208) 743-2505
Fax: (208) 746-6395
Website:
Map and Directions
Authorized official contact:
Name: Lester, Laurie
Phone: (208) 743-2505

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D3494 Idaho

Profile Details

NPI number 1902896772
LBN Legal business name Dentistry '4' Children Pllc
DBA Doing business as Dr Jeremy Wiggins
Authorized official Lester, Laurie
Entity Organization
Organization subpart 1 No
Enumeration date Oct 24th, 2005
Last updated Dec 2nd, 2010 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1902896772 NPPES
Idaho MEDICAID 806496000
Idaho MEDICAID 806332400

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