Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IDAHO INNOVATIVE DENTISTRY, PLLC
Active OrganizationIDAHO INNOVATIVE DENTISTRY, PLLC is a Dental Clinic organization located in EAGLE, Idaho. NPI 1649620139 is currently active in the NPPES registry. Verify at CMS.
Dental Clinic · EAGLE, ID
Registration Details
- NPI Number
- 1649620139
- Provider Type
- Organization
- NPI Issued
- Jun 15, 2016 (10.199811074047 yrs)
- Last Updated
- Jun 15, 2016
- License
-
D-4002 (ID)
Practice Information
- Address
-
467 S RIVERSHORE LNEAGLE, ID, 836164978Browse ID providers · Browse ZIP 83616
- Phone
- 2089381247
- Primary Specialty
-
Dental Clinic
261QD0000X
Other Dental Clinic Organizations in EAGLE, ID
| Name | NPI |
|---|---|
| EAGLE RIVER DENTISTRY | 1972762342 |
| HATHAWAY AND PELLETIER FAMILY DENTAL PLLC | 1790387959 |
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.