Idaho Pediatric Dentistry
LBN: Idaho Pediatric Dentistry
Idaho Pediatric Dentistry is an health care organization with primary practice located at 4401 E Flamingo Ave , Nampa ID 83687-3113. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Pediatric Dentistry, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Pediatric Dentistry is the primary health care specialty.
Idaho Pediatric Dentistry can be contacted via phone (208) 461-5459, or through Loveland, Christopher K via phone (208) 461-5459.
Contact Information
Primary practice address
4401 E Flamingo Ave
Nampa ID 83687-3113
Phone: (208) 461-5459
Fax: (208) 461-6023
Website:
Authorized official contact:
Name: Loveland, Christopher K Doctor of Dental Surgery (DDS)
Phone: (208) 461-5459
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | D3936 | Idaho |
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | D3908 | Idaho |
Profile Details
| NPI number | 1467697177 |
|---|---|
| LBN Legal business name | Idaho Pediatric Dentistry |
| DBA Doing business as | |
| Authorized official | Loveland, Christopher K Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 9th, 2008 |
| Last updated | Dec 9th, 2008 - about 16 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 | 1467697177 | NPPES |
| Idaho | MEDICAID | 807511400 | |
| Idaho | MEDICAID | 808185200 |
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