Elevate Dental Hygiene Llc

LBN: Elevate Dental Hygiene Llc
Elevate Dental Hygiene Llc is an health care organization with primary practice located at 630 Sun Valley Road Suite D102 , Ketchum ID 83340. The organization recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as the primary health care specialty. Elevate Dental Hygiene Llc can be contacted via phone (208) 731-8723, or through Watkins, Michelle via phone (208) 731-8723.

Contact Information

Primary practice address
630 Sun Valley Road Suite D102 Ketchum ID 83340
Phone: (208) 731-8723
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Watkins, Michelle Registered Dental Hygienist (RDH)
Phone: (208) 731-8723

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X

Profile Details

NPI number 1013506591
LBN Legal business name Elevate Dental Hygiene Llc
DBA Doing business as
Authorized official Watkins, Michelle Registered Dental Hygienist (RDH)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 11th, 2021
Last updated Jan 11th, 2021 - about 4 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 1013506591 NPPES
Idaho Other 1851496137 NPPES
Idaho Other 1649898578 NPPES

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