Elite Dental Care, Pllc

LBN: Elite Dental Care, Pllc
Elite Dental Care, Pllc is an health care organization with primary practice located at 3423 Merlin Dr Suite 100, Idaho Falls ID 83404-7430. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Elite Dental Care, Pllc can be contacted via phone (208) 542-9900, or through Ybarguen, J. Jeffrey via phone (208) 542-9900.

Contact Information

Primary practice address
3423 Merlin Dr Suite 100 Idaho Falls ID 83404-7430
Phone: (208) 542-9900
Fax: (208) 523-4182
Website:
Map and Directions
Authorized official contact:
Name: Ybarguen, J. Jeffrey Doctor of Dental Surgery (DDS)
Phone: (208) 542-9900

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D-3536 Idaho

Profile Details

NPI number 1851449003
LBN Legal business name Elite Dental Care, Pllc
DBA Doing business as
Authorized official Ybarguen, J. Jeffrey Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 6th, 2007
Last updated Sep 1st, 2010 - about 14 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 1851449003 NPPES
Idaho MEDICAID 806047500

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