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ALL PHASES DENTISTRY PLLC NPI 1992117287


NPI Information

NPI: 1992117287
Provider Name: ALL PHASES DENTISTRY PLLC

Other Name: CRAIG C SJOBERG SOLE MEMBER

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
3810 N GARDEN CENTER WAY
BOISE, ID
ZIP 83703
Phone: (208) 853-5111
Get Directions

ALL PHASES DENTISTRY PLLC 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. ALL PHASES DENTISTRY PLLC NPI is 1992117287. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Craig C Sjoberg Sole Member.

The provider's business location address is:

3810 N GARDEN CENTER WAY
BOISE, ID
ZIP 83703-007
Phone: (208) 853-5111
Fax: (208) 853-5112

The provider's authorized official is Anissa Ferguson .
The authorized official title is Business Manager and has the following contact phone number (208) 695-5913.

The enumeration date for this NPI number is 5/21/2014 and was last updated on 5/21/2014.


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 PracticeD4200IDAHOYes

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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