Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IKDO STAR LLC
Active OrganizationIKDO STAR LLC is a Pediatric Dentistry organization located in STAR, Idaho. NPI 1861954026 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · STAR, ID
Registration Details
- NPI Number
- 1861954026
- Provider Type
- Organization
- NPI Issued
- Apr 4, 2019 (7.3919197884562 yrs)
- Last Updated
- May 8, 2020
Practice Information
- Address
-
12190 W EVELY PINES LNSTAR, ID, 836696126Browse ID providers · Browse ZIP 83669
- Phone
- 2088844466
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
- Additional Specialty
- Pediatric Dentistry
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.