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NORTHWEST DENTAL CENTER NPI 1922188333


NPI Information

NPI: 1922188333
Provider Name: NORTHWEST DENTAL CENTER
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
8300 W NORTHVIEW ST
BOISE, ID
ZIP 83704
Phone: (208) 377-8078
Get Directions

NORTHWEST DENTAL CENTER is a general practice dentist in Boise, 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. NORTHWEST DENTAL CENTER NPI is 1922188333. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8300 W NORTHVIEW ST
BOISE, ID
ZIP 83704-132
Phone: (208) 377-8078
Fax: (208) 377-3689

The provider's authorized official is Don R Cook .
The authorized official title is Owner and has the following contact phone number (208) 377-8078.

The enumeration date for this NPI number is 10/17/2006 and was last updated on 11/17/2022.


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 PracticeD1518IDAHONo
21223G0001XDentistGeneral PracticeYes

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
1000789200MEDICAIDIDAHO
2462879OTHERIDAHOUNITED CONCORDIA
36C396OTHERIDAHOBLUE CROSS

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

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