Willow Tree Dental Group Llc

LBN: Willow Tree Dental Group Llc
Willow Tree Dental Group Llc is an health care organization with primary practice located at 317 W Cherry Ln , Meridian ID 83642-1608. The organization recently has only one registered license in Dental Providers / Periodontics, which is considered as the primary health care specialty. Willow Tree Dental Group Llc can be contacted via phone (208) 472-7817, or through Love, Shannon via phone (208) 472-7817.

Contact Information

Primary practice address
317 W Cherry Ln Meridian ID 83642-1608
Phone: (208) 472-7817
Fax: (208) 345-2601
Website:
Map and Directions
Authorized official contact:
Name: Love, Shannon
Phone: (208) 472-7817

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X D3443 Idaho

Profile Details

NPI number 1093974446
LBN Legal business name Willow Tree Dental Group Llc
DBA Doing business as
Authorized official Love, Shannon
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 2nd, 2008
Last updated Jun 2nd, 2008 - about 16 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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