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ERROL C FIFE DDS PA NPI 1972612489


NPI Information

NPI: 1972612489
Provider Name: ERROL C FIFE DDS PA

Doing Business As: HARRISON DENTAL

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1675 W HILL RD
BOISE, ID
ZIP 83702
Phone: (208) 342-3695
Get Directions

ERROL C FIFE DDS PA 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. ERROL C FIFE DDS PA NPI is 1972612489. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Harrison Dental.

The provider's business location address is:

1675 W HILL RD
BOISE, ID
ZIP 83702-982
Phone: (208) 342-3695
Fax: (208) 342-4065

The provider's authorized official is Errol C Fife .
The authorized official title is Owner President and has the following contact phone number (208) 342-3695.

The enumeration date for this NPI number is 8/29/2006 and was last updated on 7/2/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeD 1587IDAHOYes

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
1002562000MEDICAIDIDAHO

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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