CHILDRENS DENTISTRY OF FRUITLAND NPI 1619634250

NPI Information

NPI: 1619634250
Provider Name: CHILDRENS DENTISTRY OF FRUITLAND
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
1950 N WHITLEY DR
FRUITLAND, ID
ZIP 83619
Phone: (541) 709-5500
Get Directions

CHILDRENS DENTISTRY OF FRUITLAND is a pediatric dentistry dentist in Fruitland, 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. CHILDRENS DENTISTRY OF FRUITLAND NPI is 1619634250. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1950 N WHITLEY DR
FRUITLAND, ID
ZIP 83619-143
Phone: (541) 709-5500
Fax: (208) 467-5199

The provider's authorized official is Rachel Mitchell .
The authorized official title is Business Manager and has the following contact phone number (208) 467-5100.

The enumeration date for this NPI number is 11/18/2021 and was last updated on 11/18/2021.

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			Yes

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: 5/5/2024

NPI Synchronization or Removal

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