YOELI PARK PLLC NPI 1730669292

NPI Information

NPI: 1730669292
Provider Name: YOELI PARK, PLLC

Doing Business As: STEVENS DENTAL

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
10572 W BUSINESS PARK LN
BOISE, ID
ZIP 83709
Phone: (208) 375-5656
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YOELI PARK, PLLC is a dental clinic center in Boise, ID. YOELI PARK, PLLC NPI is 1730669292. The provider is registered as an organization entity type.
The provider Is Doing Business As Stevens Dental.

The provider's business location address is:

10572 W BUSINESS PARK LN
BOISE, ID
ZIP 83709-797
Phone: (208) 375-5656

The provider's authorized official is Jason Hammer .
The authorized official title is Owner/docter and has the following contact phone number (208) 466-8400.

The enumeration date for this NPI number is 8/15/2018 and was last updated on 8/15/2018.

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	261QD0000X	Clinic/Center	Dental			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: 4/28/2024

NPI Synchronization or Removal

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