Id Specialty Dental Services, Pllc

LBN: Id Specialty Dental Services, Pllc
Id Specialty Dental Services, Pllc is an health care organization with primary practice located at 1541 S Timesquare Ln , Boise ID 83709-8266. The organization recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as the primary health care specialty. Id Specialty Dental Services, Pllc can be contacted via phone (208) 321-7006, or through Dasch, Charlotte via phone (504) 638-0303.

Contact Information

Primary practice address
1541 S Timesquare Ln Boise ID 83709-8266
Phone: (208) 321-7006
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dasch, Charlotte
Phone: (504) 638-0303

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X

Profile Details

NPI number 1538909379
LBN Legal business name Id Specialty Dental Services, Pllc
DBA Doing business as
Authorized official Dasch, Charlotte
Entity Organization
Organization subpart 1 Yes
Enumeration date May 29th, 2024
Last updated May 29th, 2024 - about last year

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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