Riverwest Dental
LBN: Foothills Dental Care, Pllc
Riverwest Dental is an health care organization with primary practice located at 1655 Pancheri Dr , Idaho Falls ID 83402-3169. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty.
Foothills Dental Care, Pllc can be contacted via phone (208) 522-1911, or through Raichart, Melissa K via phone (208) 529-4484.
Contact Information
Primary practice address
1655 Pancheri Dr
Idaho Falls ID 83402-3169
Phone: (208) 522-1911
Fax: (208) 523-4441
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | D3971 | Idaho |
| Dental Providers / Dentist | 122300000X | D3464 | Idaho |
| Dental Providers / Dentist | 122300000X | D4302 | Idaho |
| Dental Providers / Dentist | 122300000X | D1719 | Idaho |
Profile Details
| NPI number | 1205175668 |
|---|---|
| LBN Legal business name | Foothills Dental Care, Pllc |
| DBA Doing business as | Riverwest Dental |
| Authorized official | Raichart, Melissa K |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Feb 5th, 2013 |
| Last updated | Feb 6th, 2013 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205175668 | NPPES |
| Idaho | MEDICAID | 1124035498 | |
| Idaho | MEDICAID | 1740501410 | |
| Idaho | MEDICAID | 1134356140 | |
| Idaho | MEDICAID | 1952317703 | |
| Idaho | MEDICAID | 1275619090 | |
| Idaho | MEDICAID | 1609952415 |
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