Southern Springs Dental Pllc

LBN: Southern Springs Dental Pllc
Southern Springs Dental Pllc is an health care organization with primary practice located at 1910 S Meridian Rd Ste 150, Meridian ID 83642-9061. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Southern Springs Dental Pllc can be contacted via phone (208) 888-3540, or through Jardine, Barry W via phone (208) 888-3540.

Contact Information

Primary practice address
1910 S Meridian Rd Ste 150 Meridian ID 83642-9061
Phone: (208) 888-3540
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jardine, Barry W Doctor of Dental Medicine (DMD)
Phone: (208) 888-3540

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D3807 Idaho

Profile Details

NPI number 1730348236
LBN Legal business name Southern Springs Dental Pllc
DBA Doing business as
Authorized official Jardine, Barry W Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 9th, 2008
Last updated Jun 9th, 2008 - about 17 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 1730348236 NPPES
Idaho MEDICAID 807969400

Popular Providers