Idaho Dental Anesthesia Pllc

LBN: Idaho Dental Anesthesia Pllc
Idaho Dental Anesthesia Pllc is an health care organization with primary practice located at 37 W Archerfield St Ste 100 , Meridian ID 83646-6587. The organization recently has only one registered license in Dental Providers / Dentist Anesthesiologist, which is considered as the primary health care specialty. Idaho Dental Anesthesia Pllc can be contacted via phone (208) 391-2894, or through Judd, Ryan W via phone (503) 679-9797.

Contact Information

Primary practice address
37 W Archerfield St Ste 100 Meridian ID 83646-6587
Phone: (208) 391-2894
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Judd, Ryan W Doctor of Dental Medicine (DMD)
Phone: (503) 679-9797

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist Anesthesiologist 1223D0004X D-4613 Idaho

Profile Details

NPI number 1629470141
LBN Legal business name Idaho Dental Anesthesia Pllc
DBA Doing business as
Authorized official Judd, Ryan W Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 17th, 2014
Last updated Aug 12th, 2020 - about 5 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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