Meridian Pediatric Dentistry, Pllc

LBN: Meridian Pediatric Dentistry, Pllc
Meridian Pediatric Dentistry, Pllc is an health care organization with primary practice located at 1550 E Heritage Park St Ste 150 , Meridian ID 83646-5886. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Meridian Pediatric Dentistry, Pllc can be contacted via phone (208) 288-2719, or through Merriman, Toby via phone (208) 288-2719.

Contact Information

Primary practice address
1550 E Heritage Park St Ste 150 Meridian ID 83646-5886
Phone: (208) 288-2719
Fax: (208) 288-2579
Website:
Map and Directions
Authorized official contact:
Name: Merriman, Toby
Phone: (208) 288-2719

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X D-3592-PD Idaho

Profile Details

NPI number 1811156722
LBN Legal business name Meridian Pediatric Dentistry, Pllc
DBA Doing business as
Authorized official Merriman, Toby
Entity Organization
Organization subpart 1 No
Enumeration date Jun 5th, 2008
Last updated Jun 5th, 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 1811156722 NPPES
Idaho MEDICAID 806274800

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