Bethel Dental Group
LBN: Robert O Stevens Dmd, Pa
Bethel Dental Group is an health care organization with primary practice located at 10572 W Business Park Ln , Boise ID 83709-6797. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty.
Robert O Stevens Dmd, Pa can be contacted via phone (208) 375-5656, or through Stevens, Robert Orlo via phone (208) 375-5656.
Contact Information
Primary practice address
10572 W Business Park Ln
Boise ID 83709-6797
Phone: (208) 375-5656
Fax: (208) 375-5928
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / Dental | 261QD0000X | D1807 | Idaho |
Profile Details
NPI number | 1336220144 |
---|---|
LBN Legal business name | Robert O Stevens Dmd, Pa |
DBA Doing business as | Bethel Dental Group |
Authorized official | Stevens, Robert Orlo |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Oct 18th, 2006 |
Last updated | May 13th, 2013 - about 11 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1336220144 | NPPES |
Idaho | Other | 43162 | REGENCE BLUE SHIELD |
Idaho | Other | 64709 | REGENCE BLUE SHIELD |
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