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SHAUN CHRISTENSEN DMD PC NPI 1790899409


NPI Information

NPI: 1790899409
Provider Name: SHAUN CHRISTENSEN, DMD, PC

Doing Business As: MIDDLE CREEK DENTAL

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
155 S MIDLAND BLVD
NAMPA, ID
ZIP 83686
Phone: (208) 466-7424
Get Directions

SHAUN CHRISTENSEN, DMD, PC is a general practice dentist in Nampa, 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. SHAUN CHRISTENSEN, DMD, PC NPI is 1790899409. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Middle Creek Dental.

The provider's business location address is:

155 S MIDLAND BLVD
NAMPA, ID
ZIP 83686-601
Phone: (208) 466-7424
Fax: (208) 466-7512

The provider's authorized official is Shaun Christensen .
The authorized official title is Owner / Dentist and has the following contact phone number (208) 466-7424.

The enumeration date for this NPI number is 8/18/2006 and was last updated on 9/20/2019.


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 PracticeD3588IDAHOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1806452800MEDICAIDIDAHO

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

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