Middle Creek Dental

LBN: Shaun Christensen, Dmd, Pc
Middle Creek Dental is an health care organization with primary practice located at 155 S Midland Blvd , Nampa ID 83686-2601. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Shaun Christensen, Dmd, Pc can be contacted via phone (208) 466-7424, or through Christensen, Shaun via phone (208) 466-7424.

Contact Information

Primary practice address
155 S Midland Blvd Nampa ID 83686-2601
Phone: (208) 466-7424
Fax: (208) 466-7512
Website:
Map and Directions
Authorized official contact:
Name: Christensen, Shaun Doctor of Dental Medicine (DMD)
Phone: (208) 466-7424

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D3588 Idaho

Profile Details

NPI number 1790899409
LBN Legal business name Shaun Christensen, Dmd, Pc
DBA Doing business as Middle Creek Dental
Authorized official Christensen, Shaun Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 18th, 2006
Last updated Sep 20th, 2019 - about 5 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 1790899409 NPPES
Idaho MEDICAID 806452800

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