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IDAHO DENTAL AID PLLC NPI 1891921052


NPI Information

NPI: 1891921052
Provider Name: IDAHO DENTAL AID, PLLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
604 3RD ST S
NAMPA, ID
ZIP 83651
Phone: (208) 466-9088
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IDAHO DENTAL AID, PLLC 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. IDAHO DENTAL AID, PLLC NPI is 1891921052. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

604 3RD ST S
NAMPA, ID
ZIP 83651-840
Phone: (208) 466-9088
Fax: (208) 466-2294

The provider's authorized official is Kim Benson Keller .
The authorized official title is Owner and has the following contact phone number (208) 466-9088.

The enumeration date for this NPI number is 6/2/2009 and was last updated on 6/2/2009.


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 PracticeD-3065IDAHOYes

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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