BEARABLE DENTISTRY NPI 1780606616

NPI Information

  • NPI: 1780606616
  • Provider Name: BEARABLE DENTISTRY
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 1410 S MAIN ST
    MOSCOW, ID
    ZIP 83843
  • Phone: (208) 882-3214

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NPI Details

BEARABLE DENTISTRY is a general practice dentist in Moscow, 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. BEARABLE DENTISTRY NPI is 1780606616. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1410 S MAIN ST
MOSCOW, ID
ZIP 83843-930
Phone: (208) 882-3214

The provider's authorized official is Linda Gordon .
The authorized official title is Director Of Insurance Coordination and has the following contact phone number (208) 882-3214.

The enumeration date for this NPI number is 7/23/2006 and was last updated on 3/7/2023.

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
11223G0001XDentistGeneral PracticeIDAHOYes

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
1CS9246OTHERIDAHOCONTROLLED SUBSTANCE NUMB
2D-3556OTHERIDAHODENTAL
3D-3565OTHERIDAHODENTAL
4CS2043OTHERIDAHOCONTROLLED SUBSTANCE #
5CS9172OTHERIDAHOCONTROLLED SUBSTANCE

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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