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
Fax: (208) 375-5928
Website:
Authorized official contact:
Name: Stevens, Robert Orlo

Health care specialties

SpecialtyCodeLicense #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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1336220144 NPPES
Idaho Other 43162 REGENCE BLUE SHIELD
Idaho Other 64709 REGENCE BLUE SHIELD

Popular Providers