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

STONE RIDGE DENTAL P.C.

Active Organization

STONE RIDGE DENTAL P.C. is a Preferred Provider Organization organization located in BLACKFOOT, Idaho. NPI 1609113455 is currently active in the NPPES registry. Verify at CMS.

Preferred Provider Organization · BLACKFOOT, ID

Registration Details

NPI Number
1609113455
Provider Type
Organization
NPI Issued
Jan 14, 2013 (13.605074910056 yrs)
Last Updated
Jan 14, 2013
License
D-4169 (ID)

Practice Information

Address
380 W JUDICIAL ST
BLACKFOOT, ID, 832212122
Browse ID providers · Browse ZIP 83221
Phone
2087856833
Primary Specialty
Preferred Provider Organization
305R00000X

Other Preferred Provider Organization 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.