Robert A Ebert, Dds

LBN: Robert A Ebert, Dds
Robert A Ebert, Dds is an health care organization with primary practice located at 910 W Ironwood Dr , Coeur D Alene ID 83814-2601. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Robert A Ebert, Dds can be contacted via phone (208) 664-2912, or through Ebert, Robert A via phone (208) 664-2912.

Contact Information

Primary practice address
910 W Ironwood Dr Coeur D Alene ID 83814-2601
Phone: (208) 664-2912
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ebert, Robert A Doctor of Dental Surgery (DDS)
Phone: (208) 664-2912

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1467684175
LBN Legal business name Robert A Ebert, Dds
DBA Doing business as
Authorized official Ebert, Robert A Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 13th, 2009
Last updated Aug 13th, 2009 - about 15 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 1467684175 NPPES
Idaho MEDICAID 000283400
Idaho MEDICAID 9200508/181205

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