Idaho Endodontics

LBN: Idaho Endodontics
Idaho Endodontics is an health care organization with primary practice located at 1555 S Timesquare Ln , Boise ID 83709-8266. The organization recently has only one registered license in Dental Providers / Endodontics, which is considered as the primary health care specialty. Idaho Endodontics can be contacted via phone (208) 672-8860, or through Maylin, Amanda via phone (208) 672-8860.

Contact Information

Primary practice address
1555 S Timesquare Ln Boise ID 83709-8266
Phone: (208) 672-8860
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Maylin, Amanda Doctor of Osteopathy (DO)
Phone: (208) 672-8860

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X

Profile Details

NPI number 1710509823
LBN Legal business name Idaho Endodontics
DBA Doing business as
Authorized official Maylin, Amanda Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date May 12th, 2020
Last updated May 12th, 2020 - about 4 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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