Summit Dental Care Group, Pllc
LBN: Summit Dental Care Group, Pllc
Summit Dental Care Group, Pllc is an health care organization with primary practice located at 285 Canyon Crest Dr , Twin Falls ID 83301-5359. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / Dentist is the primary health care specialty.
Summit Dental Care Group, Pllc can be contacted via phone (208) 733-9999, or through Frame, Alisa via phone (208) 733-9999.
Contact Information
Primary practice address
285 Canyon Crest Dr
Twin Falls ID 83301-5359
Phone: (208) 733-9999
Fax: (208) 733-9699
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | D3892 | Idaho |
| Dental Providers / Dentist | 122300000X | D4455 | Idaho |
| Dental Providers / General Practice | 1223G0001X |
Profile Details
| NPI number | 1871753608 |
|---|---|
| LBN Legal business name | Summit Dental Care Group, Pllc |
| DBA Doing business as | |
| Authorized official | Frame, Alisa FAADOM |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 16th, 2008 |
| Last updated | Feb 6th, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871753608 | NPPES |
| Idaho | MEDICAID | 807190600 |
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