Eagle Oral Surgery And Dental Implant Center Pllc

LBN: Eagle Oral Surgery And Dental Implant Center Pllc
Eagle Oral Surgery And Dental Implant Center Pllc is an health care organization with primary practice located at 197 W State St , Eagle ID 83616-4959. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Eagle Oral Surgery And Dental Implant Center Pllc can be contacted via phone (208) 995-2865, or through Hixson, Jeremy L via phone (208) 451-6584.

Contact Information

Primary practice address
197 W State St Eagle ID 83616-4959
Phone: (208) 995-2865
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hixson, Jeremy L Doctor of Dental Medicine (DMD)
Phone: (208) 451-6584

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X D-4617-OS Idaho

Profile Details

NPI number 1780074864
LBN Legal business name Eagle Oral Surgery And Dental Implant Center Pllc
DBA Doing business as
Authorized official Hixson, Jeremy L Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 28th, 2015
Last updated Jan 28th, 2015 - about 9 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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