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TWIN FALLS DENTAL GROUP PLLC NPI 1720520505


NPI Information

NPI: 1720520505
Provider Name: TWIN FALLS DENTAL GROUP PLLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

CLIA Number: 13D1014072

Address:
788 EASTLAND DR STE A
TWIN FALLS, ID
ZIP 83301
Phone: (208) 733-2621
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TWIN FALLS DENTAL GROUP PLLC 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. TWIN FALLS DENTAL GROUP PLLC NPI is 1720520505. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

788 EASTLAND DR STE A
TWIN FALLS, ID
ZIP 83301-826
Phone: (208) 733-2621
Fax: (208) 733-1086

The provider's authorized official is Christopher Hansen .
The authorized official title is Dentist/partner and has the following contact phone number (208) 733-2621.

The CLIA number assigned to this NPI record is 13D1014072 - community clinic with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 11/10/2016 and was last updated on 11/10/2016.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeD4164IDAHOYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.