BABICHENKO DENTAL LAB NPI 1770623910

NPI Information

  • NPI: 1770623910
  • Provider Name: BABICHENKO DENTAL LAB
  • Classification: Denturist - 122400000X
  • Entity Type: Organization
  • Doing Business As: EUROPEAN DENTURE CENTER
  • Address: 10480 W GARVERDALE CT
    SUITE 804B
    BOISE, ID
    ZIP 83704
  • Phone: (208) 376-6613

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NPI Details

BABICHENKO DENTAL LAB is a denturist in Boise, ID. The provider is a denturist is a licensed professional that serves patients with removable dental prosthetic oral health needs. A licensed denturist is trained in removable dental prosthetics and the fabrication of such devices. BABICHENKO DENTAL LAB NPI is 1770623910. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As European Denture Center.

The provider's business location address is:

10480 W GARVERDALE CT
SUITE 804B
BOISE, ID
ZIP 83704-411
Phone: (208) 376-6613
Fax: (208) 376-6613

The provider's authorized official is Gennady S Babichenko .
The authorized official title is Owner and has the following contact phone number (208) 376-6613.

The enumeration date for this NPI number is 2/7/2007 and was last updated on 8/8/2008.

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
1122400000XDenturistLD44IDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1806208700MEDICAIDIDAHO

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: 3/30/2025

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