JENDY PLLC NPI 1205330420

NPI Information

NPI: 1205330420
Provider Name: JENDY PLLC

Doing Business As: THE KIDS DENTIST AND ORTHODONTICS

Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
2300 W EVEREST LN STE 125
MERIDIAN, ID
ZIP 83646
Phone: (208) 938-6343
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JENDY PLLC is a pediatric dentistry dentist in Meridian, ID. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. JENDY PLLC NPI is 1205330420. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As The Kids Dentist And Orthodontics.

The provider's business location address is:

2300 W EVEREST LN STE 125
MERIDIAN, ID
ZIP 83646-113
Phone: (208) 938-6343

The provider's authorized official is Joel E Whitt .
The authorized official title is President and has the following contact phone number (208) 631-2212.

The enumeration date for this NPI number is 3/21/2018 and was last updated on 3/21/2018.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223P0221X	Dentist	Pediatric Dentistry	D3868-PD	IDAHO	Yes
2	1223X0400X	Dentist	Orthodontics and Dentofacial Orthopedics		IDAHO	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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