Eagle Rock Dental Care Pllc
LBN: Eagle Rock Dental Care Pllc
Eagle Rock Dental Care Pllc is an health care organization with primary practice located at 2205 Channing Way Ste B , Idaho Falls ID 83404-8016. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty.
Eagle Rock Dental Care Pllc can be contacted via phone (208) 529-3660, or through Chapple, Trudee L via phone (208) 523-5400.
Contact Information
Primary practice address
2205 Channing Way Ste B
Idaho Falls ID 83404-8016
Phone: (208) 529-3660
Fax: (208) 529-3666
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D3063 | Idaho |
| Dental Providers / General Practice | 1223G0001X | D4138 | Idaho |
| Dental Providers / General Practice | 1223G0001X | D1890 | Idaho |
| Dental Providers / General Practice | 1223G0001X | D4036 | Idaho |
| Dental Providers / General Practice | 1223G0001X | D4369 | Idaho |
| Dental Providers / General Practice | 1223G0001X | D1608 | Idaho |
Profile Details
| NPI number | 1326395385 |
|---|---|
| LBN Legal business name | Eagle Rock Dental Care Pllc |
| DBA Doing business as | |
| Authorized official | Chapple, Trudee L |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Aug 9th, 2012 |
| Last updated | Aug 24th, 2012 - about 12 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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