Elison Dental Center

LBN: Elison Dental Center
Elison Dental Center is an health care organization with primary practice located at 3656 Washington Pkwy , Idaho Falls ID 83404-7573. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Elison Dental Center can be contacted via phone (208) 522-7216, or through Elison, Michael Aaron via phone (208) 522-7216.

Contact Information

Primary practice address
3656 Washington Pkwy Idaho Falls ID 83404-7573
Phone: (208) 522-7216
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Elison, Michael Aaron Doctor of Dental Medicine (DMD)
Phone: (208) 522-7216

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D3605 Idaho

Profile Details

NPI number 1932368222
LBN Legal business name Elison Dental Center
DBA Doing business as
Authorized official Elison, Michael Aaron Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 3rd, 2008
Last updated Jun 3rd, 2008 - about 17 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 1932368222 NPPES
Idaho MEDICAID 806380000

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