Idaho Falls Pediatric Dentistry, Pllc

LBN: Idaho Falls Pediatric Dentistry, Pllc
Idaho Falls Pediatric Dentistry, Pllc is an health care organization with primary practice located at 3387 Merlin Dr , Idaho Falls ID 83404-7405. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Idaho Falls Pediatric Dentistry, Pllc can be contacted via phone (208) 419-3622, or through Housley, Kailey Anne via phone (208) 419-3622.

Contact Information

Primary practice address
3387 Merlin Dr Idaho Falls ID 83404-7405
Phone: (208) 419-3622
Fax: (208) 419-3461
Website:
Map and Directions
Authorized official contact:
Name: Housley, Kailey Anne Doctor of Dental Surgery (DDS)
Phone: (208) 419-3622

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X

Profile Details

NPI number 1700447596
LBN Legal business name Idaho Falls Pediatric Dentistry, Pllc
DBA Doing business as
Authorized official Housley, Kailey Anne Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 24th, 2019
Last updated Jun 24th, 2019 - about 6 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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