Slattery, John C.
Slattery, John C. is an sole proprietor health care provider with primary practice located at 600 E Riverpark Ln Suite 100, Boise ID 83706-6551. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Slattery, John C. can be contacted via phone (208) 433-1122.Contact Information
Primary practice address
600 E Riverpark Ln Suite 100
Boise ID 83706-6551
Phone: (208) 433-1122
Fax: (208) 433-1125
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | D-3500-OR | Idaho |
Profile Details
| NPI number | 1346344884 |
|---|---|
| LBN Legal business name | Slattery, John C. |
| Credentials | DDS, MS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 12th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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