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

IDAHO PEDIATRIC DENTISTRY

Active Organization

IDAHO PEDIATRIC DENTISTRY is a Pediatric Dentistry organization located in NAMPA, Idaho. NPI 1467697177 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · NAMPA, ID

Registration Details

NPI Number
1467697177
Provider Type
Organization
NPI Issued
Dec 9, 2008 (17.710303586275 yrs)
Last Updated
Dec 9, 2008
Licenses
D3908 (ID)
D3936 (ID)

Practice Information

Address
4401 E FLAMINGO AVE
NAMPA, ID, 836873113
Browse ID providers · Browse ZIP 83687
Phone
2084615459
Fax
2084616023
Primary Specialty
Pediatric Dentistry
1223P0221X
Additional Specialty
Pediatric Dentistry

Other Pediatric Dentistry Organizations in NAMPA, 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.