Treasure Valley Periodontics

LBN: Treasure Valley Periodontics
Treasure Valley Periodontics is an health care organization with primary practice located at 813 N Stilson Rd Ste C , Boise ID 83703-5119. The organization recently has only one registered license in Dental Providers / Periodontics, which is considered as the primary health care specialty. Treasure Valley Periodontics can be contacted via phone (208) 344-0908, or through Beaudry, Kathleen A via phone (208) 344-0908.

Contact Information

Primary practice address
813 N Stilson Rd Ste C Boise ID 83703-5119
Phone: (208) 344-0908
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Beaudry, Kathleen A D.M.D., M.S.
Phone: (208) 344-0908

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X D-4444-PE Idaho

Profile Details

NPI number 1972968998
LBN Legal business name Treasure Valley Periodontics
DBA Doing business as
Authorized official Beaudry, Kathleen A D.M.D., M.S.
Entity Organization
Organization subpart 1 No
Enumeration date Dec 17th, 2015
Last updated Dec 17th, 2015 - about 9 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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