PUBLIC DENTURE CENTER NPI 1700294568

NPI Information

NPI: 1700294568
Provider Name: PUBLIC DENTURE CENTER
Classification: Dental Laboratory - 292200000X
Entity Type: Organization
Address:
2124 BLAINE ST
CALDWELL, ID
ZIP 83605
Phone: (208) 454-0311
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PUBLIC DENTURE CENTER is a dental laboratory in Caldwell, ID. The provider is a commercial laboratory specializing in the construction of dental appliances that conform to a dentist's specifications including the construction of dentures (complete or partial), orthodontic appliances, bridgework, crowns, and inlays. PUBLIC DENTURE CENTER NPI is 1700294568. The provider is registered as an organization entity type.

The provider's business location address is:

2124 BLAINE ST
CALDWELL, ID
ZIP 83605-426
Phone: (208) 454-0311

The provider's authorized official is Rebecca Lynn Westerberg .
The authorized official title is Owner and has the following contact phone number (208) 323-7790.

The enumeration date for this NPI number is 7/24/2014 and was last updated on 7/24/2014.

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	292200000X	Dental Laboratory		LD-92	IDAHO	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: 11/14/2023

NPI Synchronization or Removal

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