Magic Valley Dental Anesthesia Pllc

LBN: Magic Valley Dental Anesthesia Pllc
Magic Valley Dental Anesthesia Pllc is an health care organization with primary practice located at 1411 Falls Ave E Ste 1000C , Twin Falls ID 83301-3459. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist Anesthesiologist, Dental Providers / Pediatric Dentistry. Dental Providers / Dentist Anesthesiologist is the primary health care specialty. Magic Valley Dental Anesthesia Pllc can be contacted via phone (208) 734-7415, or through Judd, Ryan via phone (503) 679-9797.

Contact Information

Primary practice address
1411 Falls Ave E Ste 1000C Twin Falls ID 83301-3459
Phone: (208) 734-7415
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Judd, Ryan Doctor of Dental Medicine (DMD)
Phone: (503) 679-9797

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist Anesthesiologist 1223D0004X
Dental Providers / Pediatric Dentistry 1223P0221X

Profile Details

NPI number 1346824422
LBN Legal business name Magic Valley Dental Anesthesia Pllc
DBA Doing business as
Authorized official Judd, Ryan Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date May 5th, 2021
Last updated May 5th, 2021 - about 3 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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