Korth B. Elliott, Dds

LBN: Korth B. Elliott, Dds
Korth B. Elliott, Dds is an health care organization with primary practice located at 8219 Northview St , Boise ID 83704-7131. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Korth B. Elliott, Dds can be contacted via phone (208) 378-9280, or through Elliott, Korth B via phone (208) 378-9280.

Contact Information

Primary practice address
8219 Northview St Boise ID 83704-7131
Phone: (208) 378-9280
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Elliott, Korth B Doctor of Dental Surgery (DDS)
Phone: (208) 378-9280

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D-1996 Idaho

Profile Details

NPI number 1679749212
LBN Legal business name Korth B. Elliott, Dds
DBA Doing business as
Authorized official Elliott, Korth B Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date May 4th, 2008
Last updated May 4th, 2008 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1679749212 NPPES
Idaho MEDICAID 002652300

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