Sprout Pediatric Dentistry,Pllc

LBN: Sprout Pediatric Dentistry,Pllc
Sprout Pediatric Dentistry,Pllc is an health care organization with primary practice located at 7800 W Ustick Rd , Boise ID 83704-5848. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Sprout Pediatric Dentistry,Pllc can be contacted via phone (208) 576-6791, or through Mitchell, Rachel via phone (208) 467-5100.

Contact Information

Primary practice address
7800 W Ustick Rd Boise ID 83704-5848
Fax:
Website:
Authorized official contact:
Name: Mitchell, Rachel

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X

Profile Details

NPI number 1114685245
LBN Legal business name Sprout Pediatric Dentistry,Pllc
DBA Doing business as
Authorized official Mitchell, Rachel
Entity Organization
Organization subpart 1 No
Enumeration date Dec 6th, 2021
Last updated Dec 6th, 2021 - about 4 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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