Modern Dental

LBN: Tmd Pllc
Modern Dental is an health care organization with primary practice located at 2031 E Hospitality Ln Suite 100, Boise ID 83716-6603. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Tmd Pllc can be contacted via phone (208) 333-9999, or through Ryan, Michelle D via phone (208) 333-9999.

Contact Information

Primary practice address
2031 E Hospitality Ln Suite 100 Boise ID 83716-6603
Phone: (208) 333-9999
Fax: (208) 343-5889
Website:
Map and Directions
Authorized official contact:
Name: Ryan, Michelle D
Phone: (208) 333-9999

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D3273 Idaho

Profile Details

NPI number 1366601734
LBN Legal business name Tmd Pllc
DBA Doing business as Modern Dental
Authorized official Ryan, Michelle D
Entity Organization
Organization subpart 1 No
Enumeration date Jun 2nd, 2008
Last updated Sep 6th, 2011 - about 14 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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