Stone Creek Dental

LBN: Stone Creek Dental
Stone Creek Dental is an health care organization with primary practice located at 2630 S Eagle Rd , Meridian ID 83642-6704. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Stone Creek Dental can be contacted via phone (208) 888-0625, or through Butterfield, Casey Scott via phone (208) 888-0625.

Contact Information

Primary practice address
2630 S Eagle Rd Meridian ID 83642-6704
Fax: (208) 888-9128
Website:
Authorized official contact:
Name: Butterfield, Casey Scott Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D3806 Idaho

Profile Details

NPI number 1568621886
LBN Legal business name Stone Creek Dental
DBA Doing business as
Authorized official Butterfield, Casey Scott Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 2nd, 2008
Last updated Jun 2nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568621886 NPPES
Other 001821391 UNITED CONCORDIA

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