KSS DENTAL GROUP PLLC NPI 1457704009

NPI Information

KSS DENTAL GROUP PLLC is a general practice dentist in Caldwell, ID. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. KSS DENTAL GROUP PLLC NPI is 1457704009. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Fairview Dental.

The provider's business location address is:

329 E LOGAN ST
CALDWELL, ID
ZIP 83605-863
Phone: (208) 459-3388
Fax: (208) 453-9295

The provider's authorized official is Keith L Stucki .
The authorized official title is Manager and has the following contact phone number (208) 459-3388.

The enumeration date for this NPI number is 7/19/2016 and was last updated on 7/19/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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