Mudrow Family Dental

LBN: Kevin Mudrow Dds Pllc
Mudrow Family Dental is an health care organization with primary practice located at 333 S Woodruff Ave , Idaho Falls ID 83401-4322. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Kevin Mudrow Dds Pllc can be contacted via phone (208) 524-2036, or through Mudrow, Kevin Richard via phone (208) 524-2036.

Contact Information

Primary practice address
333 S Woodruff Ave Idaho Falls ID 83401-4322
Phone: (208) 524-2036
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mudrow, Kevin Richard Doctor of Dental Surgery (DDS)
Phone: (208) 524-2036

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1235565003
LBN Legal business name Kevin Mudrow Dds Pllc
DBA Doing business as Mudrow Family Dental
Authorized official Mudrow, Kevin Richard Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 24th, 2013
Last updated Sep 24th, 2013 - about 12 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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