GEDDES LLC NPI 1336309475

NPI Information

GEDDES LLC is a general practice dentist in Twin Falls, 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. GEDDES LLC NPI is 1336309475. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Wind River Dental Llc.

The provider's business location address is:

236 RIVER VISTA PL
TWIN FALLS, ID
ZIP 83301-078
Phone: (208) 352-6360
Fax: (208) 737-5255

The provider's authorized official is Matthew D Geddes .
The authorized official title is Member and has the following contact phone number (208) 432-2025.

The enumeration date for this NPI number is 6/12/2008 and was last updated on 12/28/2019.

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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