DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RIVERSIDE DENTAL PC

Active Organization

RIVERSIDE DENTAL PC is a Dentist organization located in BLACKFOOT, Idaho. NPI 1053321885 is currently active in the NPPES registry. Verify at CMS.

Dentist · BLACKFOOT, ID

Registration Details

NPI Number
1053321885
Provider Type
Organization
NPI Issued
Aug 8, 2006 (20.038254601094 yrs)
Last Updated
Jul 30, 2008
License
D3225 (ID)

Practice Information

Address
1120 PARKWAY DR
BLACKFOOT, ID, 83221
Browse ID providers · Browse ZIP 83221
Phone
2087850878
Fax
2087850878
Primary Specialty
Dentist
122300000X

Other Dentist Organizations in BLACKFOOT, ID

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.